Grand Rapids, MI
Full time
JR105449
Cost Center
923 Patient Accounts
Scheduled Weekly Hours
40
Work Shift
First Shift (United States of America)
Shift & Status
What Will You Do?
As a Medical Biller at Pine Rest, you'll be part of tight-knit team that believes in the healing power of your expertise and compassion. The Medical Biller, according to general directives and established departmental and or Pine Rest Christian Mental Health Services policies and procedures, independently performs administrative duties related to billing, to include but not limited compiling data, generating claims for services rendered, and compiling fees and charges. The Medical Biller is
are dedicated to excellent customer service, enthusiastic about the care we offer, and foster a sense of belonging and empowerment in a diverse workplace.
Principal Duties and Responsibilities:
Ensures the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers.
Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.
Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to clinical sites regarding these requirements.
Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims.
Work with clinical areas to resolve rejections and determine collectability or need for adjustment.
Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
Review insurance credits and take appropriate steps to resolve credit.
Maintains quality and productivity standards set by management.
Documents all account activity in the account notes.
What Does This Role Require?
Education/Experience:
High School diploma or equivalent required.
Six months experience in related field required, experience in healthcare-related field preferred.
Knowledge of Medical terminology and/or healthcare revenue cycle experience preferred.
Work requires the ability to read, understand and follow directions, and do computations.
Benefits:
Medical, dental, vision & life insurance plans
403(b) retirement match contribution by Pine Rest
Generous PTO for full and part time employees
Tuition assistance & loan forgiveness
Employee Assistance Program offering many free and discounted services for therapy, legal, accounting, gym membership, etc.
Partnership with Davenport University provides generous discount on tuition for employees and family members.
Notice:
Pine Rest provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
All new employees are subject to a criminal background check and education verification which may include sending a copy of your high school diploma, GED, or college transcripts.
Successful completion of a drug screen prior to employment is also part of our background process.
Pine Rest Christian Mental Health Services requires all employees to receive the COVID-19 vaccinations subject to certain exclusions. Pine Rest is committed to granting reasonable accommodations in accordance with applicable laws.
The equivalent base pay range for this position is $17.12 - $23.97. Your interview and offer letter will specify whether the role is hourly or salaried. Please note that this range does not include potential shift differentials, incentives, or bonuses, which may be part of the total compensation package. Final base pay will be determined based on location, experience, education, certifications, and FTE status.
Evidence-Based Hiring
At Pine Rest, we believe in nurturing our employees as holistic beings, understanding their unique strengths and potential to contribute to our team. Our commitment to evidence-based hiring practices ensures an equitable process and that we find the right fit for both our candidates and our organization.
Why Assessments Matter
As part of our comprehensive hiring process, we invite candidates to complete a series of assessments designed to provide valuable insights into their work preferences, personality traits, and cognitive abilities. These assessments are not just a crucial step in our screening process but also an opportunity for candidates to gain a deeper understanding of themselves.
Our Assessments
Personality Traits: 120 questions, approximately 20 minutes
Career Interests: 90 questions, approximately 15 minutes
Thinking Skills: 39 questions, approximately 20 minutes
These assessments help us create a holistic profile of our candidates, allowing us to match their unique qualities with the right roles within our organization. This approach not only benefits us but also empowers candidates with self-knowledge that can be pivotal in their career journeys.
The Benefit to You
We value the time and effort you invest in completing these assessments. In return, you will receive:
Personalized JOFI Job Fit Summary: Gain insights into how your strengths align with potential roles at Pine Rest.
Exclusive Access to CareerNavigation.org: Use this resource to plan and navigate your career development now and in the future.
Our assessments are designed to be user-friendly and can be completed on a computer, tablet, or mobile phone at your convenience. If access to technology is an issue, we invite you to visit our Human Resources department to complete the assessments.
Committed to Your Success
At Pine Rest, we are committed to creating a supportive and fulfilling work environment. Our evidence-based hiring practices reflect our dedication to finding and nurturing the best talent. Join us and discover how we can grow together !
Apply Today
Experience a hiring process that cares about you as a whole person ! Apply today and take the first step towards a rewarding career with Pine Rest.
