Job Summary

This position assists in the completion of premium billing functions including timely and accurate invoicing, account reconciliation, and collections. Investigates and resolves payment discrepancies and prepares appropriate balancing documents. Maintains an in-depth knowledge of premium management methodologies to assure accurate reconciliation.

Essential Functions

Processes and/or reconciles premium payments to maintain timely cash flow and accurate account balances. Meets audit expectations, as determined by department.

Ensures payer and governmental agency regulatory and compliance requirements are consistently followed and applied.

Performs collections activities for unpaid premiums including running and working related collections reports, issuing collections letters, terminating and reinstating.

Identify, verify, communicate and monitor applicable premium management trends and issues.

Identify and troubleshoot issues that impact invoice release and payment delays.

Provides excellent customer service by effectively communicating with internal and external customers.

Performs moderately complex account reconciliation work.

Qualifications

Required

High School Diploma or equivalent

2 years of relevant experience In a billing, account reconciliation, or accounting related field

2 years of relevant experience In the healthcare industry

Preferred

Associate's Degree Business/Finance

Bachelor's Degree or equivalent Business/Finance/Accounting

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.

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 - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Market Operations - Medicaid

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 4:30 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

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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.