Sr Billing Clerk/Patient Account Representative Healthcare

Job Title

Professional and/or Facility Accounts Receivable Billing Follow Up Activities

Job Description

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.

We are seeking an individual highly skilled in Professional and/or Facility accounts receivable billing follow up activities to join our team dedicated to credit balance resolution. This team resolves insurance credit balances for both Facility and Professional Billing. Responsible for in depth account review, resolving complex inquiries from third party payers, ensuring optimal reimbursement, and problem resolution.

Responsibilities

• Respond to all levels of financial inquiries from payers, Revenue Cycle Leadership/Management regarding take backs, refunds, etc.
• Ensure integrity of refund, escheat, and billing process
• Ability to effectively interact, communicate, directly with Payment Posting department, Rev Cycle Leadership, Insurance Carriers, etc.
• Analyze account / invoice credit balances and resolve via refund, escheat, adjustments, etc., (minor & complex) independently.
• Recommend and implement corrective action for insufficient payment, take backs, or inappropriate rejections.
• Analyze nonpayment situations, take backs, refund request, and recommend procedure changes which may resolve such negative trends.
• Maintain department productivity measures.

Required Qualifications

• High school diploma or equivalent combination of education and experience.
• Ability to handle multiple tasks timely.
• Current (2-3yrs) experience in Professional or Hospital / Facility accounts receivable collections and credit balance resolution.
• Considerable knowledge of 3rd party reimbursement policies and procedures.
• Familiarity with using 3rd party payer websites (i.e.: Champs, Availity, etc.)
• Demonstrated ability to identify, research complex credits.
• Demonstrated ability to work in a team environment, build trust in working relationships with other staff.
• Demonstrated ability to work independently.
• Demonstrated attention to details.
• Demonstrated problem solving abilities are necessary.
• Produce high-quality work in a timely, accurate and efficient manner.
• Excellent verbal and written communication skills.
• Professional, team oriented, positive attitude.
• Working knowledge of Excel
• Experience with Epic billing system

Desired Qualifications

• Knowledge of Michigan Medicine policies, procedures and as well as regulatory requirements.
• Experience with Michigan Medicine systems including MiChart (EPIC), Outlook, Zoom, etc
• Professional or Hospital / Facility billing experience 5+ years

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

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.

Work Locations

THIS IS A REMOTE POSTION . The onsite location, when needed, is in Ann Arbor, Michigan

Additional Information

Why Join the Revenue Cycle Department, Consolidated Billing Unit Credit Resolution Team?

If you are a highly motivated individual, like to be part of a goal oriented team, desire to be part of a unit that is interested in what you bring to the table, like to experience a team built on high collaboration, like to be able to use all your billing knowledge to position the revenue cycle to be the best it can be, and part of a team that gets things done, this IS the team for you to demonstrate your superior skills and knowledge.

What Perks and Benefits Can You Look Forward to?

• Generous Paid Time Off (PTO) and paid holidays
• Work Remotely
• Flexible schedule

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 any time after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.