Biller Hybrid

Corewell Health • Grand Rapids, MI

2d • Hybrid

About The Position

Processes inpatient and outpatient claims to insurance companies, employers and patients. Follows claims through the payment cycle to insure timely and accurate payment by third party payers. Maintains an in-depth knowledge of payer regulations and reimbursement methodologies to assure accurate reimbursement. Processes patient and insurance payments to maintain timely cash flow and accurate account balances. Meets audit expectations, as determined by department. Analyzes assigned accounts receivable portfolio and take appropriate action to ensure compliant, timely claim resolution. Ensures payer and governmental agency regulatory and compliance requirements are consistently followed and applied. Identify, verify, communicate and monitor applicable AR trends and issues. Identify and trouble shoot issues that impact claim processing delays. Demonstrates professional communication, including verbal and written. Adheres to department and role-specific policies, procedures and key-metrics.

Requirements

• High School Diploma or equivalent
• 2 years of relevant experience related field

Nice To Haves

• Associate’s degree related field

Responsibilities

• Processes inpatient and outpatient claims to insurance companies, employers and patients.
• Follows claims through the payment cycle to insure timely and accurate payment by third party payers.
• Maintains an in-depth knowledge of payer regulations and reimbursement methodologies to assure accurate reimbursement.
• Processes patient and insurance payments to maintain timely cash flow and accurate account balances.
• Meets audit expectations, as determined by department.
• Analyzes assigned accounts receivable portfolio and take appropriate action to ensure compliant, timely claim resolution.
• Ensures payer and governmental agency regulatory and compliance requirements are consistently followed and applied.
• Identify, verify, communicate and monitor applicable AR trends and issues.
• Identify and trouble shoot issues that impact claim processing delays.
• Demonstrates professional communication, including verbal and written.
• Adheres to department and role-specific policies, procedures and key-metrics.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED