Biller Hybrid
Corewell Health · Grand Rapids, Michigan, US
Job Summary Processes inpatient and outpatient claims to insurance companies, employers and patients. Follows claims through the payment cycle to insure time...
Job 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 role-specific policies, procedures and key-metrics. Qualifications: Required: - High School Diploma or equivalent - 2 years of relevant experience related field Preferred: - Associate’s degree related field...