UMH Sparrow Health System - BILLING SPECIALIST

Job Opportunity

Job ID: 54691

Job Description

The Hospital Billing Specialist is responsible for the accurate and timely billing, for assigned healthcare claims. This role focuses on identifying and resolving billing errors, verifying claim accuracy, and submitting clean claims to payers to support efficient revenue collection.

Essential Duties :

This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Review and resolve billing claim edits and errors daily, prior to submission to payers, for accuracy utilizing electronic billing software.
• Collaborates with coding, registration, and other revenue cycle and clinical departments to resolve issues impacting claim quality.
• Maintains daily work queues according to payer requirements, including late charges/credits, multiple visits in one day, 3-day rule, changes in insurance coverage, and claim errors.
• Files claims to payers in a timely manner to assure prompt reimbursement.
• Documents actions taken in the billing system according to department standards.
• Maintains quality and productivity standards and participates in meetings to discuss recurring issues.
• Knowledge of payer guidelines, including utilization of payer websites and other tools.
• Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning, and continuing education opportunities, and participating in committees, task forces, and work groups as determined by management.

Job Requirements

• EPIC or Revenue Cycle Certification preferred.

• Experience working in an accredited hospital or physician office preferred.

• High school diploma or GED.

• Ability to work independently with minimal supervision.

• Good oral and written communication skills.

• Proficiency with computer functions, including ability to use automated systems for third party billing and insurance follow up.

• Professional, business-like appearance and demeanor.

• Recognizes and reports problems, errors, and discrepancies to management.

• Share information with co-workers.

• Ability to contribute to team efforts.

• Ability to assist with training of new employees as needed.

University of Michigan Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.