Summary

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 Hospital 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.

Mission Statement

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.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Responsibilities*

• 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
• Move payments to accounts ensuring appropriate payment catergory, reimbursement level, contractural adjustment and liablility transfer.
• 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.  Home Infusion billers will periodically respond to patient phone calls and process credit card payments.
• 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.

Required Qualifications*

• High school diploma or equivalent combination of education and 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.

Desired Qualifications*

• Knowledge of University Health System policies, procedures and regulations.
• Experience with University systems including MiChart/Epic, Outlook, as well as, NThrive, Epremis, CHAMPS, Webdenis and other payer websites.
•  2 or more years of billing experience
• Hospital billing experience within last 5 years.
• Deep understanding of ICD-10, CPT, HCPCS codes.
• Complete understanding of coordination of benefits
•  Experience with documenting audits for code appropriateness.
• Solid understanding of hospital reimbursement technology.
•  Ability to stay abreast of Federal coding requirements and guidelines.
• Ability to submit clean claims and collect from private insurers, Medicaid and Medicare.

Background Screening

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.

Application Deadline

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.

Vaccine Requirements

COVID-19 vaccinations are required for all students, faculty and staff working in the following areas: Michigan Medicine including the Medical School, Dental School, University Health Service or the Mary A. Rackham Institute.  This includes those working remotely and temporary workers.   More information on this new policy is available on the U-M Health Response.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.