Sr Bill Clk/Pat Acct Rep Hlth
University of Michigan Health System, Ann Arbor, MI, United States
Job Summary
We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our Hospital Billing Team. The primary responsibilities will include accurate claim submissions, active collections, resolving complex insurance inquiries, and reimbursement issues. The role also monitors and analyzes outstanding insurance receivables to ensure 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. Report 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.
Serve and protect 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.
Benefits
Excellent medical, dental and vision coverage effective on your very first day.
2:1 Match on retirement savings.
Equal Employment Opportunity Statement The University of Michigan is an equal employment opportunity employer.
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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. Report 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.
Serve and protect 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.
Benefits
Excellent medical, dental and vision coverage effective on your very first day.
2:1 Match on retirement savings.
Equal Employment Opportunity Statement The University of Michigan is an equal employment opportunity employer.
#J-18808-Ljbffr