As a Medical Biller at Pine Rest, you will be part of a tight-knit team that values healing, compassion, and excellent customer service. You will independently perform administrative duties related to billing, including compiling data, generating claims for services rendered, and compiling fees and charges.
Principal duties include:
- Ensuring the accuracy and completeness of patient financial, insurance, and demographic information so claims are compliant for third-party payers
- Submitting claims to payers so they meet clean claim standards for timely and accurate payment
- Maintaining knowledge of payer regulations, contracts, and billing requirements, and serving as a resource to clinical sites
- Contacting insurance companies to obtain preauthorization, resolve outstanding balances, incorrect payments, claim denials, or missing information needed to adjudicate claims
- Working with clinical areas to resolve rejections and determine collectability or whether adjustments are needed
- Processing payment and claim resolution documents and determining balances based on contractual arrangements and insurance coverage
- Reviewing insurance credits and taking appropriate steps to resolve them
- Maintaining quality and productivity standards set by management
- Documenting all account activity in account notes
Requirements & Qualifications
Education and experience:
- High school diploma or equivalent required
- Six months of experience in a related field required
- Healthcare-related experience preferred
- Knowledge of medical terminology and/or healthcare revenue cycle experience preferred
Other requirements:
- Ability to read, understand, and follow directions
- Ability to perform computations
Benefits & Perks
Benefits include:
- Medical, dental, vision, and life insurance plans
- 403(b) retirement match contribution
- Generous PTO for full-time and part-time employees
- Tuition assistance and loan forgiveness
- Employee Assistance Program with free and discounted services for therapy, legal, accounting, gym membership, and more
- Tuition discounts through Davenport University for employees and family members
Location
Michigan, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago
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