A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.
The Back and Pain Center in the Department of Anesthesiology has an exciting opportunity for a Patient Services Intermediate. This position will be responsible for maximizing compliance and revenue by ensuring complete and timely provider documentation along with comprehensive and accurate charge capture for the Back & Pain Center and Headache & Neuropathic Pain Clinic.
Run reports within MiChart and the UMHS Data systems. Utilize these reports to audit and reconcile clinic visits and procedure activity to ensure billing accuracy.
Review documentation to assure proper billing. If billed, verify it is billed correctly. If not billed, conducts research to determine reasons and follows up with providers if there are documentation issues or billing entry gaps.
Reconcile/resolve billing discrepancies for those items in charge capture work queues.
Manipulate large data sets using Microsoft Excel or similar programs to create reports for department leadership.
Run various MiChart clinical activity reports and collate data for operational analysis and decisions.
Act as a liaison with the coding & billing team to investigate anomalies, correct deficiencies and post all charges.
Develop reports showing total activity, total billed and unbilled by provider. Conduct root cause analysis for any unbilled activity.
Run reports related to medication and supply usage, reconcile to ensure appropriate charges are billed. Also, track defective items and ensure patients are credited or not billed for defective supplies and implants.
Assists providers by answering questions regarding documentation and billing entries. Also, provide feedback related to common billing errors.
Keep providers updated on billing/coding changes and/or compliance issues and provide training materials.
Monitors any complex billing codes on a regular basis to ensure that appropriate charges and modifiers are being filed.
Monitor open encounters and assist providers with completing documentation when appropriate.
Initiate and follow up on Medication Prior Authorizations.
Draft appeal letters and or complete forms necessary for denied services.
Provide input that would lead to enhanced revenue capture/generation.
Partner with the Referral Coordinator to coordinate and facilitate communications between primary care physicians, managed care plans, clinic personnel and patients regarding authorization for service, medication prior authorizations and other insurance inquiries.
Reconcile the clinic deposit and complete additional tasks related to this process on a daily basis and notify appropriate personnel when discrepancies are found.
Additional duties and responsibilities as assigned.
High school diploma or GED with 3 - 4 years of experience
Ability to multitask and prioritize work appropriately is essential.
Ability to accurately receive and relay information over the telephone and through written documentation.
Great investigative skills and strong attention to detail, particularly to numbers.
Ability to accept direction from multiple sources and remain adaptable to rapid changes in work environment.
Excellent organizational and analytical skills.
Excellent verbal and written communication skills.
One year customer service experience, preferably within a medical care environment.
Solid typing/keyboard skills (minimum typing speed of 50 wpm).
Professional, flexible and positive team player.
Ability to work independently.
Ability and willingness to learn new skills and technologies.
Passion for providing excellent service to customers.
Successful passing of Pre-employment testing will be required.
Knowledge of and/or ability to solve problems.
Knowledge of and/or ability to learn to work as part of a team-oriented environment.
Knowledge of MiChart reports and ability to problem solve using large amounts of data.
Experience in manipulating large data sets using Microsoft Excel or similar programs.
Knowledge of University policies and procedures.
Experience in Referral Coordination or medical service billing.
Experience working with MiChart.
Knowledge of medical terminology.
Experience working in a health care setting.
This is a full time position; Monday through Friday, shift hours are from 8 a.m. – 4:30 p.m. (shift hours could potentially change based on the operational needs and required meetings).
Successful Candidates will have the following Personal Characteristics:
High enthusiasm and energetic personality
Willing to go the extra mile in all aspects of the job
Respect for people, and hard work
Willingness to challenge, and better yourself
Flexible, self-motivated, and detail-oriented
High level of personal and professional integrity
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.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 191323
About University of Michigan - Ann Arbor
A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.