Join our exceptional Billing team on a journey towards financial health! As a vital member, you'll process inpatient and outpatient claims, ensuring precise payments from insurance companies, employers and patients. Your expertise in payer regulations will be crucial in optimizing reimbursements and maintaining seamless cash flow. With clear communication and careful analysis, you'll exceed audit expectations and swiftly resolve claims. This role is responsible for managing all follow up duties related to Medicaid HMO accounts. Step into the heart of billing excellence, where precision meets passion, and become a valued member of our dedicated team committed to financial vitality.
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 role-specific policies, procedures and key-metrics.
Qualifications
REQUIRED
High School Diploma or equivalent
2 years of relevant experience in a related field
PREFERRED
Preferred Associate's Degree related field
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 [None = No; Seldom = Yes]: Seldom
Primary LocationSITE - 4700 60th St - Grand Rapids
Department NamePFS Facility Specialty Billing
Employment TypeFull time
ShiftDay (United States of America)
Weekly Scheduled Hours40
Hours of Work8 a.m. - 4:30 p.m.
Days WorkedMonday to Friday
Weekend FrequencyN/A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
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.
You may request assistance in completing the application process by calling 616.486.7447.
Beaumont Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.
