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Account Representative - Biller 

Location Greater Grand Rapids, Michigan Area  
Full-Time/Part-Time Full-Time  
Shift First  

The professional in this role will independently perform administrative duties related to billing, collection, accounts payable, accounting, and customer assistance in a medical billing environment. The Account Representative must demonstrate excellent customer service and have enthusiasm about the program and the Pine Rest organization.

Principal Duties and Responsibilities:

  • Responsible for a variety of tasks in the department. May input data, monitor and run reports, process checks, balance information, verify information, file, sort, and send bills.
  • Submit claims to payers assuring claims meet the clean claim definition to assure timely and accurate payment.
  • Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims. Work with clinical areas to resolve rejections and determine collectability or need for adjustment. Process payment/claim resolution documents, making determinations on balances based on contractual arrangements and insurance coverage.
  • Apply insurance and patient payments to accounts, monitoring for compliance with contractual agreements to assure appropriate reimbursement for services provided. Prepare and balance bank deposits.
  • Answer patient questions regarding balances, make referrals to other areas as appropriate, i.e. clinical area, Patient Rights, etc. Create and maintain customer-friendly environment with internal and external customers.
  • Establish payment arrangements within established guidelines.
  • Review accounts to determine patient delinquency and initiate collection steps or refer to collection agency. Coordinate accounts and balances with collection agency.
  • Responsible for the monitoring and careful use of resources impacting them in a moderate capacity (i.e. Balance cash drawer, cut checks, effective use of time).
  • Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to clinical sites regarding these requirements.
  • May attend staff meetings
  • May support and promote a recovery focused environment and person-centered approach within the program.
  • Must maintain annual training and demonstrate competency in the required programmatic training.
  • Performs other duties or functions as assigned.
Position Requirements

Education, Training, and Experience:

  • An Associate’s Degree or equivalent knowledge, skills, and abilities may be required.
  • Work requires the ability to read, understand and follow directions, and do computations at a level typically acquired through completion of a high school diploma or equivalent (GED).
  • Requires minimum experience of three (3) months in related field such as accounting, billing, finance, etc.
  • Additional training may be required.
  • Previous experience in medical billing is strongly preferred.

Specific skills, knowledge, and abilities:

  • Ability to provide care/service within the scope of: Holding a conviction to express Christ’s love and compassion to recipients of services, coworkers, and surrounding communities through integrity, stewardship, empowerment, the promotion of diversity, and professional excellence.
  • Ability to provide cultural competent care with a wide range of individuals in a diverse community setting.
  • Strong organizational skills are required to prioritize a variety of job tasks and functions.
  • Proficiency of electronic systems, including Microsoft Office (EXCEL, WORD, OUTLOOK) is required perform tasks using data and/or ability to learn systems.
  • Ability to communicate in English, hear, speak, and type in order to communicate with internal and external customers.
  • Minimal independent decision-making skills needed to resolve occasional non-routine issues.

Pine Rest is an EOE

About the Organization Pine Rest is a nonprofit, free standing, behavioral health system founded in 1910 in Grand Rapids, Michigan. This comprehensive behavioral health center, coupled with the Pine Rest network of 18 outpatient clinics and satellite offices in Michigan and Iowa, provide individualized and group therapy for people of all ages and all levels of need. Pine Rest clinicians offer therapeutic services in behavioral health for people of all ages and all levels of need across the continuum of care within a Christian framework.

Pine Rest has a 198-bed inpatient hospital program with a 36-bed child and adolescent inpatient and a large partial hospital program for adolescents. Additionally, Pine Rest has many inpatient services for adults, including: four 22-bed adult inpatient units each designed for a different level of acuity, a 22-bed co-occurring substance use disorder adult inpatient unit, a large adult partial hospital program, and a 26-bed older adult inpatient unit.

The Pine Rest Community and Residential Services Division also provides a wide array of services. With over 220 residential beds across a variety of programs, including treatment for substance use disorders, homes for adults with intellectual and developmental disorders, adults with mental illness, and a program for youth aged 11-18 with extensive trauma histories focusing on trauma treatment and life skills programming.

The Pine Rest Behavioral Health Solutions Division partners with behavioral health and medical organizations to increase access to psychiatry services and to provide a continuum of behavioral health and telepsychiatry services throughout many communities across the State of Michigan.

Number of Openings 6  
EOE Statement Pine Rest Christian Mental Health Services an equal employment opportunity employer and complies with the following:

Executive Order 11246, as amended, prohibits employment discrimination based on race, color, religion, sex, sexual orientation, gender identity, or national origin, and requires affirmative action to ensure equality of opportunity in all aspects of employment.

Executive Order 11246, as amended, protects applicants and employees from discrimination based on inquiring about, disclosing, or discussing their compensation or the compensation of other applicants or employees.

Section 503 of the Rehabilitation Act of 1973, as amended, protects qualified individuals with disabilities
from discrimination in hiring, promotion, discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment. Disability discrimination includes not making reasonable accommodation to the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or employee, barring undue hardship to the employer. Section 503 also requires that Federal contractors take affirmative action to employ and advance in employment qualified individuals with disabilities at all levels of employment, including the executive level.

The Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended, 38 U.S.C. 4212, prohibits
employment discrimination against, and requires affirmative action to recruit, employ, and advance in
employment, disabled veterans, recently separated veterans (i.e., within three years of discharge or release from active duty), active duty wartime or campaign badge veterans, or Armed Forces service medal veterans.

This position is currently not accepting applications.

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