Sr Bill Clk/Pat Acct Rep Hlth

Job Summary

Join our dedicated team of revenue cycle professionals in the Hospital Billing Team. We are looking for a highly motivated Senior Billing Clerk/Patient Account Representative to accurately submit claims, manage collections, resolve insurance inquiries, and analyze outstanding 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, pursue corrective action.
Follow compliance standards, investigate discrepancies and take corrective action for claim resolution.
Contact third‑party representatives and payer liaisons for status, information and claim issue escalation.
Monitor and interpret reimbursement changes and trends, reporting to leadership.
Respond to complex billing, collecting, and operational inquiries from stakeholders and customers.
Assist in system testing for billing results.
Meet with the Billing Manager/Supervisor regularly to communicate and resolve billing/payer issues.
Attend applicable training programs such as MPAA sessions and third‑party seminars.
Represent the unit with limited authority regarding general administrative matters as needed.
Adhere to professional standards, policies, and JCAHO standards.
Respect and protect confidential information; work independently and in a team environment.
Required Qualifications

High school diploma or equivalent combination of education and experience.
2 or more years’ experience within revenue cycle operations.
Proficient in 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 with billing systems such as Epic, Waystar, Epremis.
Ability to keep up with 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.
U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.

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