Job Summary Completes special projects as requested and proposes ideas for improving day to day processes. Processes inpatient and outpatient claims to insurance companies, employers, and patients. Claims are followed 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 takes 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 accounts receivable (AR) trends and issues. + Demonstrates professional communication, including verbal and written. + Demonstrates subject matter expertise for payer, process, technology or other department assigned function as needed. + In coordination with the department support services teams, conduct and validate technology functions with respect to upgrades and optimizations. Identifies and trouble shoots issues that impact claim processing delays. + Adheres to department and role-specific policies, procedures, and key-metrics. Takes a lead role and acts as mentor, resource, and consultant regarding department specific processes and issues. + Train new hires and billers. How Corewell Health cares for you + Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) . + On-demand pay program powered by Payactiv + Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! + Optional identity theft protection, home and auto insurance, pet insurance + Traditional and Roth retirement options with service contribution and match savings Qualifications Required + High School Diploma or equivalent + 5 years of relevant experience Patient Financial Services Preferred + Associate degree + CRCR Certification About Corewell Health As 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. Primary Location SITE - 4700 60th St - Grand Rapids Department Name PFS Professional Billing Employment Type Full time Shift Variable (United States of America) Weekly Scheduled Hours 40 Hours of Work Variable Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only. 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. People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.