Specialist Billing Services

Specialist Billing Services Location: Royal Oak, MI Job Summary 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 work Manage 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 Functions Monthly 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. Qualifications Required Bachelor's Degree or equivalent Two years of relevant experience As part of the new agreement between Corewell Health and Quest Diagnostics, effective January 2026, the position will remain under Corewell Health until the anticipated completion of the new laboratory in 2027. 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. #CorewellHealthCareers 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 Primary Location SITE - Royal Oak Hospital - 3601 W 13 Mile Rd - Royal Oak Department Name Laboratory Corp Admin - Corporate Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:00 a.m. to 4:30 p.m. 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.