Billing Specialist LTC

Job Summary

Responsible for submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The biller must review and verify the accuracy of patient information, codes, and charges, as well as resolve any issues or denials. The biller must also communicate with patients, providers, and insurance companies to ensure timely and accurate reimbursement.

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 and payment transactions and documentation.
• Update and verify patient demographics, insurance information, and eligibility.
• Report and resolve any discrepancies, errors, or irregularities in billing processes.
• Keep abreast of billing regulations, policies, procedures, and industry standards.
• Communicate professionally with patients, providers, and insurers to address billing questions and disputes.
• Process payments, adjustments, and refunds.
• 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.
• Follow up and resolve patient and physician office inquiries.

Qualifications

Required

• High School Diploma or equivalent
• 2 years of relevant experience related field

Preferred

• Associate's Degree related field

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

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• 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

• Eligibility for benefits is determined by employment type and status