Facility Medical Biller Patient Accounts Full Time

Pine Rest Christian Mental Health Services • Grand Rapids, MI

11d • $17 - $24

About The Position

The Medical Biller independently performs administrative duties related to billing according to general directives and established departmental and Pine Rest Christian Mental Health Services policies and procedures. Duties include compiling data, generating claims for services rendered, and compiling fees and charges. The role supports accurate and compliant billing and payment processing while maintaining customer service and quality standards.

Requirements

• High school diploma or equivalent required.
• Six months of experience in a related field required.
• Ability to read, understand, and follow directions, and perform computations.

Nice To Haves

• Experience in a healthcare-related field preferred.
• Knowledge of medical terminology and/or healthcare revenue cycle experience preferred.

Responsibilities

• Ensure patient financial, insurance, and demographic information is accurate and complete to support compliant claims to third-party payers.
• Submit claims that meet the clean-claim definition to support timely and accurate payment.
• Maintain knowledge of payer regulations, contracts, and billing requirements, and serve as a resource to clinical sites regarding these requirements.
• Contact insurance companies to obtain preauthorization in some departments and to resolve outstanding balances, incorrect payments, claim denials, or information needed to adjudicate claims.
• Work with clinical areas to resolve rejections and determine collectability or the need for adjustment.
• Process payment and claim-resolution documents, determining balances based on contractual arrangements and insurance coverage.
• Review insurance credits and take appropriate steps to resolve them.
• Maintain quality and productivity standards set by management.
• Document all account activity in account notes.

Benefits

• Medical, dental, vision, and life insurance plans.
• 403(b) retirement match contribution by Pine Rest.
• Generous PTO for full- and part-time employees.
• Tuition assistance and loan forgiveness.
• Employee Assistance Program with free and discounted services, including therapy, legal, accounting, and gym membership services.
• Partnership with Davenport University providing a tuition discount for employees and family members.

What This Job Offers

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