Biller Sr

Corewell Health; Royal Oak (MI); On-site; USD 50,000 - 70,000; Full time

Job summary

Corewell Health is looking for a skilled individual to oversee the billing and collection processes in Royal Oak, Michigan. This role is responsible for ensuring accurate claim submissions and supervising the billing team. The ideal candidate will have at least 5 years of relevant experience and a High School Diploma.

The position is full-time with standard hours, expected to work Monday through Friday. Corewell Health promotes a collaborative and equitable workspace, valuing diversity and inclusion.

Qualifications

• 5 years of relevant experience in Patient Financial Services.
• Strong understanding of billing processes and claims submission.
• Ability to lead, mentor, and train billing staff.

Responsibilities

• Oversee billing and collection processes to ensure accuracy.
• Train and supervise billing staff and monitor performance.
• Handle escalated billing issues and communicate effectively with stakeholders.

Skills

Billing and collection oversight

Communication skills

Compliance understanding

Education

High School Diploma or equivalent

Associate's Degree

Tools

Billing software

Job description

Job Summary

Responsible for overseeing the billing and collection processes of a healthcare organization. They ensure that the claims are submitted accurately and timely, and that the payments are received and reconciled. They also supervise and train the billing staff, monitor the performance and compliance of the billing department, and resolve any issues or disputes with payers, patients, or providers.

Essential Functions

• Submit claims electronically or by mail to insurance companies, government agencies, or other payers
• Follow up on unpaid or rejected claims or account inquiries to resolve any issues or discrepancies
• Monitor claim status and ensure timely and accurate reimbursement
• Review and verify patient information, diagnosis codes, procedure codes, modifiers, and charges for accuracy and compliance
• Follow up on denied claims and make necessary corrections or appeals
• Maintain accurate and confidential records of billing transactions and documentation
• Update and verify patient demographics, insurance information, and eligibility
• Report and resolve any discrepancies, errors, or irregularities in billing processes
• Communicate professionally with patients, providers, and insurers to address billing questions and disputes
• Process payments, adjustments, refunds, and write-offs
• Collaborate with other areas within revenue cycle, operations, and shared service areas to address and prioritize work efforts
• Prepare and send statements and invoices to patients or responsible parties
• Prepare and analyze reports on the billing, reconciliation, and collection activities, and identify and address any trends, issues, or opportunities for improvement
• Ensure compliance with the policies and procedures of the organization, as well as the regulations and standards of the industry and the payers
• Mentor, train, and evaluate the billing staff, and provide feedback and guidance on their performance and development
• Handle complex or escalated billing and collection issues, and communicate effectively with payers, patients, providers, and other stakeholders
• Stay updated on the changes and developments in the healthcare billing and coding field
• Prepare and provide education and training to the billing staff and the providers
• Coordinate with support teams to conduct and validate technology functions with respect to upgrades, optimizations, and new systems
• Prepare and present information in a group setting

Qualifications

Required

• High School Diploma or equivalent
• 5 years of relevant experience in Patient Financial Services

Preferred

• Associate's Degree
• CRT-Revenue Cycle Representative, Certified (CRCR) - HFMA Healthcare Financial Management Association

Location

Primary Location: SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak

Department

Department Name: Cancer Admin - Diversified East WB Mkt

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

Equal Employment Opportunity

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.