Why Join the Revenue Cycle Department, Billing & Third Party Collections Team?
We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our DME/Home Infusion 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.
Your primary duties will include claim submissions, error corrections and insurance collections.
You will initiate and process claims and other forms within prescribed guidelines; screening for accuracy completeness and conformity to required standards.
You will investigate discrepancies and take appropriate corrective action when necessary ensuring compliance
Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including status of accounts, write-offs, refunds, transfers, and billing third party carriers within established guidelines.
Monitor, interpret and advise management regarding payer system and reimbursement changes and trends.
You will contact appropriate third party representatives for information and assistance with denied or incorrectly paid claims.
Initiate and prepare standardized and ad hoc reports and correspondence based on respective area needs.
Represent the unit with limited authority regarding general administrative and operational matters on an as need basis.
Respond to complex billing and collections, financial, or operation inquiries third parties and other customers.
Assist in development of unit policies and procedures including identification and testing of potential billing solutions.
Once your training is complete, you will assist in training new team members
Attend applicable training program initiatives which include but are not limited to MPAA sessions, third party seminars, and in-house training.
High school diploma or equivalent combination of education and experience
2 or more years of billing experience
Proficiency in use of computers and software, including Microsoft office products and email/calendar programs.
Excellent verbal and written interpersonal skills.
Ability to handle multiple items at a time
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.
Knowledge of University Health System policies, procedures and regulations.
Experience with University systems including MiChart/Epic, Outlook and Home Care Net 360, as well as, Epremis, CHAMPS, Webdenis and other payer websites.
DME/Home Infusion experience within the last 5 years.
Complete understanding of coordination of benefits
Experience with documenting audits for code appropriateness.
Ability to stay abreast of Federal coding requirements and guidelines.
Ability to submit clean claims and collect from private insurers, Medicaid and Medicare.
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.
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.
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.
The University of Michigan is an equal opportunity/affirmative action employer.
Internal Number: 191631
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.