McLaren Health
divh2Billing/Follow-up Rep Facility (Remote)/h2pUnder general direction, the Billing/Follow-up Rep Facility (Remote) is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management./ppBilling/Follow-up Rep Facility is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities./ph3Essential Functions and Responsibilities:/h3ulliResponsible promptly, professionally, and courteously to all customer needs./liliCooperates and communicates effectively with all McLaren Health Care team members./liliContributes to continuous quality improvement efforts./liliCompletes tasks accurately and timely./liliOrganizes time and prioritizes effectively./liliPractices cost effective measures./liliMaintains confidentiality in all matters regarding patients, the hospital, the department, and human resources./li/ulh3Billing:/h3pResponsible for billing hospital and physician claims, for inpatients and outpatients treated in the hospital and clinic, on behalf of the patient, within insurance time filing limits./pulliInterprets third party requirements and appropriately bills for facility and physician services within time filing requirements./liliPerforms necessary maintenance to patient accounts in the billing and claims editing systems./liliResponds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts./liliContacts insurance companies regarding unreleased and unprocessed bills./liliAs assigned, Insurance Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner./liliWorks with other departments and insurance companies to resolve bill/claim edits./liliNotify Analyst of edits that needs to be built and Denials Rep for denial trends./liliCoordinates and monitors billing activities relating to bone marrow transplant package pricing./li/ulh3Follow Up:/h3pResponsible for follow-up with third party payors for inpatients and outpatients treated in the hospital and clinic necessary to obtain payment and/or a resolution of patient accounts within insurance time filing limits./pulliPerforms necessary maintenance to patient accounts in the hospital and claims editing systems./liliResponds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts./liliContacts insurance companies regarding outstanding insurance bills./liliFollows-up on Age Trial Balance Report monthly./liliAs assigned, Billing Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner./liliNotify Analyst of edits that needs to be built and Denials Rep for denial trends./liliResolves issues involving third party payor and self-pay claims./li/ulh3Qualifications:/h3pstrongMinimum:/strong/pulliHigh School Diploma or GED/li/ulpstrongPreferred:/strong/pulliAssociate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience./liliWorking knowledge of CPT, HCPCS, and ICD-1/liliOne year experience in hospital financial or patient services/li/ulpEqual Opportunity Employer of Minorities/Females/Disabled/Veterans/p/div