Patient Account Representative

Insurance Billing Specialist

This position is responsible for billing and follow up of insurance accounts. It includes verification of benefits and communication with the insurance companies. It requires a broad knowledge of the hospital charge posting system and working with the hospital departments to verify charges, captures lost charges, and to review the general appropriateness of account balances.

Responsibilities

Verify inpatient and outpatient accounts for insurance eligibility

Follow up on outstanding accounts receivable

Review claims for correct codes, appropriate charges and general accuracy

Post payments and adjustments according to payer requirements

Resolve credit balances.

Rebilling accounts for secondary insurance billing.

Miscellaneous duties as assigned.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.

An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Required Education

High school diploma or GED is required Four years in hospital setting with emphasis on insurance billing and computers is preferred. Additional courses in medical terminology and experience with Excel and Word are preferred.

Other Information

Typing skills of 50 WPM is required.

10-key experience and efficiency required.

Ability to work well under pressure is required.

Windows PC and Internet experience is required.

Ability to work well in a team environment - cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.

Two years in billing setting with some insurance experience and problem solving is required.

Physical/Mental Requirements and Typical Working Conditions

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.