Sr Billing Clerk/Patient Account Representative Healthcare

Senior Billing Clerk/Patient Account Representative

Revenue Cycle Professional Billing (Medical Specialties) is looking for a Senior Billing Clerk/Patient Account Representative for BCBS/BCN Insurance Professional Receivables. Responsible for accurate claim submission, resolve complex insurance inquiries and reimbursement issues; monitor and analyze outstanding insurance receivables with responsibility for ensuring optimal reimbursement.

Responsibilities*

• Status patient accounts for nonpayment from BCBS/BCN, initiating appropriate follow-up action, responding to all levels of financial inquiries from patients, payers, hospital and department personnel.
• Monitor and analyze BCBS/BCN reimbursement levels.
• Recommend and implement corrective action for insufficient payment or inappropriate rejections.
• Analyze nonpayment situations and recommend procedure changes which may resolve such negative trends.
• Resolve daily edits.
• Review claim forms for accuracy and completeness.
• Maintain unit productivity and quality assurance requirements.

Required Qualifications*

• High school diploma or equivalent combination of education and experience.
• Ability to handle multiple tasks timely.
• Knowledge of Medical Insurance reimbursement policies and procedures.
• Ability to type 40-60 wpm with accuracy may be necessary.
• Proficiency in use of computers and software, including Microsoft Office product.
• Demonstrated excellent verbal and written interpersonal skills.
• Direct experience related to hospital or professional billing, which may include recent completion of a medical billing program.
• Demonstrated ability to handle multiple items simultaneously and produce high-quality work in a timely, accurate and efficient manner.
• Demonstrated experience efficiently and professionally handling and protecting items confidential in nature.
• Demonstrated ability work in a team environment, build trust in the working relationships with other staff and faculty.
• Demonstrated ability to work independently.
• Demonstrated attention to details.
• Demonstrated problem solving abilities are necessary.

Desired Qualifications*

• Knowledge of University of Michigan and UMHS policies, procedures and as well as regulatory requirements.
• Experience with UMHS systems including MiChart (epic), Outlook, Waystar, CHAMPS, Availity, as well as other payer websites.
• Professional or Facility billing experience within the last 5 years.
• 2-3 years office experience, including 1-2 years in a hospital or physician business office performing Commercial collection functions.
• Facility Billing experience could be considered.

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.

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.