Specialist Billing Services

Specialist Billing Services Patient Financial Services consists of Hospital Billing, Professional Billing, Post Acute Care Billing, Cash Applications, Patient Liability Support, Clinical Denials and Post Payment Audits, Payment Variance, Insurance Credits. We provide billing and collection support to the organization.This Specialist Billing Services in collaboration with the Manager will act as liaison between Corewell Health System and their Outreach Customers providing workflow guidance for the following areas:Hospital Billing - primarily supports hospital facility billing, including regional hospitals, and includes payment variance and insurance credits.Professional Billing - primarily supports professional physician billing.Cash Applications - Ensures accurate electronic payment posting as well as scanning and posting paper remittance.Clinical Denials and Post Payment Audits - primarily works audits from insurance companies, as well as intervening on important or high-impact appeals of denied claims.Our ideal candidate will be well versed in medical billing, medical coding, insurance claims and healthcare Accounts Receivable (A/R). Customer Service will be an integral part of this position as you may be asked to handle patient questions and concerns regarding billing, as well as handing off accounts to bad debt and receiving updated insurance information post-billing.This is a system-wide position and travel will be necessary.Scope of workManage and educate accounts that are considered billing top-offenders with Missing Information and valid Advanced Benefits Notice (ABN) rates. Recover account Missing Information for records in Biller Initiated Payment (BIP) greater than thirty days old.Essential FunctionsMonthly client visits will be conducted as part of the job responsibilities.Account visits will be prioritized based on Missing information/ABN status and geographic location.The Billing Service Specialist will be responsible for communicating the results of the client education process on Missing Information and ABN improvements to the Business Unit (BU) management teams.Coordinate with the BU Sales Department any collaborative client visits that may be required. Provide training to new BU Sales Representatives during Explanation of Payment (EOP) process.Manage and educate lab Operations and Patient Service Center's (PSC) top-offenders on edit requirements for billing.QualificationsRequiredBachelor's Degree or equivalentTwo years of relevant experienceAbout Corewell HealthAs a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.#CorewellHealthCareers