Sr Bill Clk/Pat Acct Rep Hlth

Job Title

The University of Michigan Orthotics and Prosthetics Center is a large multi-disciplinary clinic dedicated to providing high quality orthotic, prosthetic, and pedorthic services for adults and children.

This individual will play an important role in researching insurance eligibility, authorization and billing requirements. In addition, this individual will support the patient financial liability process, while providing the highest quality customer service.

We are seeking a compassionate, enthusiastic, and patient-oriented individual who will share in the goal of creating the ideal experience for our patients, families and employees.

Responsibilities

Perform critical and complex billing functions that require analysis, evaluation, and a thorough understanding of the accounts receivable system. Daily tasks include prescription review, pending orders, benefits, and eligibility analysis, updating WIP icons, communicating with clinicians, and reviewing modifiers and patient signatures.

Obtain authorizations as required by various carriers via telephone, fax, and online systems to ensure efficient patient turnaround time.

Review charges for accuracy and compliance in secondary system (OPIE) prior to billing (includes referral shells, detailed orders and modifiers) and submit charges via the MiChart interface and ensure charge reconciliation.

Review and resolve insurance issues to mitigate claim denials.

Provide support to clinicians in researching and explaining insurance/billing information to patients. Provide quality customer service directly answer/respond to patient financial insurance questions. Provide patient counseling regarding estimated out of pocket financial liability (coinsurance, deductibles, etc.) and coordinate/collect patient payments.

Collaborate with Revenue Cycle staff to ensure charges are billed correctly and that the correct authorizations are obtained for specific HCPCS codes.

Complete monthly WIP review meetings with assigned clinicians to ensure all active patients are processed timely to reduce delays.

Establish and maintain regular communication with patients, physicians, O&P clinicians, and payors to support efficient billing, authorizations, and overall patient care.

Required Qualifications

3- 5 years of billing/insurance experience- extensive knowledge of billing requirements and practices of various insurance carriers including but not limited to: auto, worker’s compensations, private health, and others such as Tricare, Medicare and Medicaid. Expertise in utilizing payer portals/websites (eligibility and benefits). Excellent written, verbal and face-to-face communication skills, including ability to effectively explain relevant insurance information to patients, as well as communicate with insurance plans and internal customers. Proper phone etiquette. Ability to work independently and collaboratively in a team-oriented environment; professional and friendly demeanor. Good organizational and time management skills to effectively juggle multiple priorities and time constraints. Ability to exercise sound judgement and problem-solving skills. Proficient in Microsoft Excel, Word, and Outlook. Ability to handle patient and organizational information in a confidential manner.

Desired Qualifications

Four-year degree in Business Administration or related field. Knowledge of medical terminology, preferably in the field of Physical Medicine & Rehabilitation and DME/Orthotics and Prosthetics. Familiarity with Epic and OPIE systems.

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 Schedule

Hybrid: Monday through Friday

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

All applications for this position must be received by (enter the date).

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.