Biller - Caledonia, United States - Corewell Health

Corewell Health

Verified Company

Caledonia, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Job Summary
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.

Essential Functions

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 rolespecific policies, procedures and keymetrics.

Qualifications

Required High School Diploma or equivalent
Preferred Associate's Degree related field
2 years of relevant experience related field Required

Physical Demands

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 20 lbs
Pulling Force > 5 lbs: Seldom up to 15 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally

Forward Bend

Standing: Seldom

Forward Bend

Sitting: Occasionally

Trunk Rotation

Standing: Seldom

Trunk Rotation

Sitting: Occasionally
Squat: Seldom
Stair Climbing: Seldom

Reach

Above Shoulder: Seldom

Reach
- at Shoulder or Below: Seldom

Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/

Hand Dexterity:
Frequently

Visual Acuity 1 [None = No; Seldom = Yes]: Seldom

Primary Location
SITE th St - Grand Rapids

Department Name
PFS Facility Specialty Billing

Employment Type
Full time

Shift
Day (United States of America)

Weekly Scheduled Hours
40

Hours of Work
Variable

Days Worked
Monday to Friday

Weekend Frequency
N/A

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category._
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team._