Sr Bill Clk/Pat Acct Rep Hlth

Orthotics and Prosthetics Billing Specialist

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.

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. The 30,000 square foot facility is located at 2850 S. Industrial Hwy, Ann Arbor, MI. The Orthotics and Prosthetics Center at Michigan Medicine is one of the few Universities based facilities in the country that offers comprehensive services and has been awarded the maximum three-year accreditation by the American Board for Certification in Orthotics, Prosthetics & Pedorthics.

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, workers 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.