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Grand Rapids, Michigan, United States
Onsite
Cost Center
923 Patient AccountsScheduled Weekly Hours
40Work 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.