Sr Bill Clk/Pat Acct Rep Hlth

Job Summary

Why Join the Revenue Cycle Department, Billing & Third-Party Collections Team?

We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our DME/Home Infusion Billing Team. We are in search of a highly motivated individual whose primary responsibilities will include accurate claim submissions, active collections, and resolving complex insurance inquiries and reimbursement issues. In this position, you will also play a vital role in monitoring and analyzing outstanding insurance receivables with responsibility for ensuring optimal reimbursement.

What Perks and Benefits Can You Look Forward to?

• 2:1 match on retirement savings
• Excellent medical, dental, and vision coverage starting on day one of employment.
• Generous Paid Time Off (PTO) and paid holidays
• Opportunity for remote work based on the ability to hit productivity and performance measures.
• Flexible schedule

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

• Your primary duties will include claim submissions, error corrections and insurance collections.
• You will initiate and process claims and other forms within prescribed guidelines; screening for accuracy completeness and conformity to required standards.
• You will investigate discrepancies and take appropriate corrective action when necessary, ensuring compliance
• Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including status of accounts, write-offs, refunds, transfers, and billing third party carriers within established guidelines.
• Monitor, interpret and advise management regarding payer system and reimbursement changes and trends.
• You will contact appropriate third-party representatives for information and assistance with denied or incorrectly paid claims.
• Initiate and prepare standardized and ad hoc reports and correspondence based on respective area needs.
• Represent the unit with limited authority regarding general administrative and operational matters on an as need basis.
• Respond to complex billing and collections, financial, or operation inquiries third parties and patients.
• Assist in development of unit policies and procedures including identification and testing of potential billing solutions.
• Once your training is complete, you will assist in training new team members.
• Attend applicable training program initiatives which include but are not limited to MPAA sessions, third party seminars, and in-house training.
• Answer phones for calling group and provide support to patients.

Required Qualifications*

• High school diploma or equivalent combination of education and experience
• 2 or more years of billing experience
• Proficiency in use of computers and software, including Microsoft office products and email/calendar programs.
• Excellent verbal and written interpersonal skills.
• Ability to manage multiple items at a time.
• Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, Federal, State, and local requirements and JCAHO standards.
• Ability to respect and protect confidential information, work in a team environment, build trust in the working relationships with other staff and faculty, and work independently.

Desired Qualifications*

• Knowledge of University Health System policies, procedures, and regulations.
• Experience with University systems including MiChart/Epic, Outlook and Home Care Net 360, as well as Epremis, CHAMPS, Webdenis and other payer websites.
• DME/Home Infusion experience within the last 5 years.
• Complete understanding of coordination of benefits
• Experience with documenting audits for code appropriateness.
• Ability to stay abreast of Federal coding requirements and guidelines.
• Ability to submit clean claims and collect from private insurers, Medicaid, and Medicare.

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.

Job Detail

Job Opening ID

255186

Working Title

Sr Bill Clk/Pat Acct Rep Hlth

Job Title

Sr Bill Clk/Pat Acct Rep Hlth

Work Location

Michigan Medicine - Ann Arbor

Ann Arbor, MI

Modes of Work

Mobile/Remote

Full/Part Time

Full-Time

Regular/Temporary

Regular

FLSA Status

Nonexempt

Organizational Group

Exec Vp Med Affairs

Department

MM Rev Cycle (PTO)

Posting Begin/End Date

10/02/2024 - 10/16/2024

Career Interest

Finance