Sr Bill Clk/Pat Acct Rep Hlth
University of Michigan - Ann Arbor, Ann Arbor, MI, United States
The University of Michigan Orthotics and Prosthetics Center is a large multidisciplinary clinic dedicated to providing high quality orthotic, prosthetic, and pedorthic services for adults and children. Located at 2850 S. Industrial Hwy, Ann Arbor, MI, it is one of the few university-based facilities in the country that has been awarded the maximum three-year accreditation by the American Board for Certification in Orthotics, Prosthetics & Pedorthics.
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 to 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 and 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 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 and reduce delays.
Establish and maintain regular communication with patients, physicians, O&P clinicians, and payors to support efficient billing, authorizations, and overall patient care.
Qualifications
3–5 years of billing/insurance experience; extensive knowledge of billing requirements and practices of various insurance carriers including auto, workers’ compensation, private health, 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 explain insurance information to patients, communicate with insurance plans, and interact with internal customers. Proper phone etiquette.
Ability to work independently and collaboratively in a team‑oriented environment with a professional and friendly demeanor.
Good organizational and time‑management skills to juggle multiple priorities and time constraints.
Ability to exercise sound judgement and problem‑solving skills.
Proficiency in Microsoft Excel, Word, and Outlook.
Ability to handle patient and organizational information in a confidential manner.
Four‑year degree in Business Administration or a related field.
Knowledge of medical terminology, preferably in Physical Medicine & Rehabilitation and DME/Orthotics and Prosthetics.
Familiarity with Epic and OPIE systems.
Hybrid: Monday through Friday.
The University of Michigan is an equal employment opportunity employer.
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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 to 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 and 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 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 and reduce delays.
Establish and maintain regular communication with patients, physicians, O&P clinicians, and payors to support efficient billing, authorizations, and overall patient care.
Qualifications
3–5 years of billing/insurance experience; extensive knowledge of billing requirements and practices of various insurance carriers including auto, workers’ compensation, private health, 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 explain insurance information to patients, communicate with insurance plans, and interact with internal customers. Proper phone etiquette.
Ability to work independently and collaboratively in a team‑oriented environment with a professional and friendly demeanor.
Good organizational and time‑management skills to juggle multiple priorities and time constraints.
Ability to exercise sound judgement and problem‑solving skills.
Proficiency in Microsoft Excel, Word, and Outlook.
Ability to handle patient and organizational information in a confidential manner.
Four‑year degree in Business Administration or a related field.
Knowledge of medical terminology, preferably in Physical Medicine & Rehabilitation and DME/Orthotics and Prosthetics.
Familiarity with Epic and OPIE systems.
Hybrid: Monday through Friday.
The University of Michigan is an equal employment opportunity employer.
#J-18808-Ljbffr