Billing Specialist jobs in Grand Rapids, MI

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Billing Specialist
  • Guardian Pharmacy of Grand Rapids
  • Grand Rapids, MI FULL_TIME
  • Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

    ATTRIBUTES REQUIRED:

    • – must possess intrinsic drive to excel coupled with values in line with company philosophy
    • – ability to build relationships with business unit management and become “trusted advisor.”
    • – ability to think ahead, plan and manage time efficiently.
    • – ability to analyze causes and solve problems at functional level.
    • – ability to work effectively and collaboratively with all team members.

    ESSENTIAL JOB FUNCTIONS (include the following):

    • Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
    • Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
    • Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
    • Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
    • Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
    • Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
    • May pursue payment from delinquent accounts and make payment arrangements.
    • Research, identify and organize requested audit documentation in timely manner.
    • Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
    • Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances)
    • Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
    • Rotate through other departments to gain working/functional knowledge of other department workflows.
    • Follow all applicable government regulations including HIPAA.
    • Work as a collaborative team member to meet the service goals of the pharmacy.
    • Other essential functions and duties may be assigned as needed.

    EDUCATION AND/OR CERTIFICATIONS:

    • High School Diploma or GED required.
    • Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).

    SKILLS AND QUALIFICATIONS:

    • 1 years of related experience
    • Advanced computer skills; pharmacy information system experience preferred.
    • Ability to work independently and deliver to deadlines.
    • Great attention to detail and accuracy
    • Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
    • Quality minded; motivated to seek out errors and inquire about inaccuracies.

    WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the job.

    • The noise level in the work environment is usually low to moderate.
    • Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
    • Requires desk work in office environment.
    • Ability to work flexible hours.

    Job Type: Full-time

    Pay: From $24.00 per hour

    Expected hours: 40 per week

    Benefits:

    • 401(k)
    • Dental insurance
    • Flexible schedule
    • Health insurance
    • Life insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • No weekends

    Ability to Relocate:

    • Grand Rapids, MI 49512: Relocate before starting work (Required)

    Work Location: In person

  • 24 Days Ago

C
Billing specialist
  • Creative Financial Staffing
  • Grand Rapids, MI FULL_TIME
  • CFS has partnered with a leading Michigan law firm that's looking to hire a Billing Specialist. This is a great opportunity to work for a well know Grand Rapids firm and to be a part of a collaborativ...
  • 3 Days Ago

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Billing Specialist
  • Service Express
  • Grand Rapids, MI OTHER
  • At Service Express, we believe that great work starts with great people! Looking for the right people to be on our team is a top priority for us, but we know we can't ask people to join our team witho...
  • 4 Days Ago

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Billing Specialist
  • Eye Care Partners Career Opportunities
  • Grand Rapids, MI PART_TIME
  • EyeCare Partners is the nation's leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients ...
  • 8 Days Ago

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Billing Specialist
  • Alliance Physical Therapy Partners
  • Grand Rapids, MI FULL_TIME
  • Summary: The Revenue Cycle Support Specialist reports to the VP of Revenue Cycle and acts as a support and a resource to the entire Revenue Cycle Leadership team. They actively participate in all depa...
  • 1 Month Ago

C
Billing Specialist
  • CARELINC MEDICAL EQUIPMENT & SUPPLY CO
  • Grandville, MI FULL_TIME
  • DescriptionText CareLinc to (616) 727-7091 to apply!Who We Are:CareLinc Medical Equipment is an industry leading supplier of medical equipment in the region. We have 700 employees spread over 5 states...
  • 1 Month Ago

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0 Billing Specialist jobs found in Grand Rapids, MI area

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Tax Manager
  • BRICKLEY DELONG P.C
  • Grand Rapids, MI
  • Job Description Job Description Brickley DeLong is a full-service, West-Michigan based, public accounting and business c...
  • 3/28/2024 12:00:00 AM

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Tax Manager
  • BRICKLEY DELONG P.C
  • Grand Haven, MI
  • Job Description Job Description Brickley DeLong is a full-service, West-Michigan based, public accounting and business c...
  • 3/28/2024 12:00:00 AM

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Accounting Clerk - Seasonal
  • Spring Meadow Nursery, Inc.
  • Grand Haven, MI
  • Job Description Job Description Spring Meadow Nursery Inc. is currently seeking a detail oriented team player to join ou...
  • 3/28/2024 12:00:00 AM

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Account Manager
  • Axis Automation
  • Grand Rapids, MI
  • Who we are: Axis Automation leverages the teamwork of our leading engineers and machine builders to conceptualize, desig...
  • 3/28/2024 12:00:00 AM

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Account Manager
  • THE ANGELA BUKALA AGENCY LLC
  • Grand Rapids, MI
  • Job Description Job Description Requirements: · Possess or obtain and maintain a Michigan Property/Casualty producer lic...
  • 3/28/2024 12:00:00 AM

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Billing Specialist - PART TIME
  • Manpower
  • Holland, MI
  • Billing Specialist - PART TIME - $15/hr. Our client in Hudsonville, MI is looking for a detail-oriented, motivated talen...
  • 3/26/2024 12:00:00 AM

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Accounting Manager
  • AirLife
  • Grand Rapids, MI
  • Job Description Job Description COMPANY DESCRIPTION At AirLife, we are dedicated to improving the quality of every breat...
  • 3/24/2024 12:00:00 AM

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Account Manager
  • The Griswold Group
  • Grand Rapids, MI
  • The Griswold Group, established in 1987, is an independent insurance agency, located in the heart of the Creston Neighbo...
  • 3/24/2024 12:00:00 AM

Grand Rapids is the second-largest city in Michigan, and the largest city in West Michigan. It is on the Grand River about 30 miles (48 km) east of Lake Michigan. As of the 2010 census, the city population was 188,040. In 2010, the Grand Rapids metropolitan area had a population of 1,005,648, and the combined statistical area of Grand Rapids-Muskegon-Holland had a population of 1,321,557. Grand Rapids is the county seat of Kent County. A historic furniture-manufacturing center, Grand Rapids is home to five of the world's leading office furniture companies, and is nicknamed Furniture City. Its ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Billing Specialist jobs
$41,633 to $48,918
Grand Rapids, Michigan area prices
were up 1.3% from a year ago

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