Senior Billing Clerk/Patient Account Representative
4 days ago
We are seeking a highly motivated and detail-oriented Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our Hospital Billing Team.
The ideal candidate will have excellent communication and organizational skills, with the ability to handle multiple tasks and prioritize deadlines. They will be responsible for accurate claim submissions, active collections, and resolving complex insurance inquiries and reimbursement issues.
Key Responsibilities- Initiate and process claims and other forms within prescribed guidelines
- Investigate discrepancies and take appropriate corrective action when necessary
- Move payments to accounts ensuring appropriate payment category, reimbursement level, contractual adjustment, and liability transfer
- Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions
- Monitor, interpret, and advise management regarding payer system and reimbursement changes and trends
- 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
- Respond to complex billing and collections, financial, or operational inquiries from third parties and other customers
- 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
- Knowledge of University Health System policies, procedures, and regulations
- Experience with University systems, including MiChart/Epic, Outlook, NThrive, Epremis, CHAMPS, Webdenis, and other payer websites
- 2 or more years of billing experience
- Hospital billing experience within the 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
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Ann Arbor, Michigan, United States University of Michigan Full timeJob SummaryWe are seeking a highly motivated and knowledgeable individual to join our dedicated team of revenue cycle professionals. As a Senior Hospital Billing Clerk/Patient Account Representative, you will be responsible for accurate claim submissions, active collections, resolving complex denials, appeals, insurance inquiries, and reimbursement issues...
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