Senior Billing Clerk/Patient Account Representative Healthcare

Senior Billing Clerk/Patient Account Representative

We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our Hospital Billing Team. We are in search of a highly motivated individual whose primary responsibilities will include accurate claim submissions, active collections, and resolving complex insurance inquiries and reimbursement issues. In this position, you will also play a vital role in monitoring and analyzing outstanding insurance receivables with responsibility for ensuring optimal reimbursement.

Responsibilities

Promote and maintain Revenue Cycle integration and claim standards for Hospital Billing.

Accountable for outpatient commercial accounts within system work queues and clearinghouses.

Review and resolve claims for accuracy based on payer standards.

Complete all identified insurance required edits through electronic billing systems.

Investigate payer responses and claim denials pursuing appropriate corrective action through write-offs, refunds, and/or transfers based on payer guidelines and contract agreements.

Following compliance standards, investigate discrepancies and take appropriate corrective action for claim resolution/reimbursement.

Contact appropriate third-party representatives, payer liaisons for status, information and/or claim issues escalation, ensuring professional and Michigan Medicine standards.

Monitor and interpret reimbursement changes and trends. Reporting trends to Leadership.

Respond and assist with complex billing, collecting, and/or operational inquiries from internal stakeholders, third parties and other customers.

Assist in system testing for billing results.

Meet with the Billing Manager/Supervisor regularly to effectively communicate and resolve billing/payer issues.

Attend applicable training program initiatives which include but are not limited to MPAA sessions, third party seminars, and in-house training.

Represent the unit with limited authority regarding general administrative and operational matters on an as-needed basis.

Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, Federal, State and local requirements and JCAHO standards.

Ability to respect and protect confidential information, work in a team environment, build trust in the working relationships with other staff and faculty, and work independently.

Required Qualifications

High school diploma or equivalent combination of education and experience.

2 or more years' experience within Revenue Cycle operations.

Proficient usage of computers and software, including Microsoft 365 and Google products.

Excellent verbal and written interpersonal skills.

Desired Qualifications

Previous medical billing experience (Hospital, Professional, DME, etc.) preferred.

Knowledge of University Health System policies, procedures and regulations.

Experience within Billing systems; Epic, Waystar, Epremis.

Understanding hospital reimbursement contracts.

Ability to stay abreast of Federal coding requirements and guidelines.

Ability to submit clean claims and collect from private insurers, Medicaid and Medicare.

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 anytime 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.