Professional Billing Account Representative

17 hours ago


East Tawas, Michigan, United States MyMichigan Health Full time
Job Summary:

This position is responsible for the billing functions for MyMichigan Health and MyMichigan Medical Group physician practices. The successful candidate will be responsible for billing and follow-up of insurance accounts, including verification of benefits and communication with insurance companies. This role requires review of general account balances and making appropriate decisions regarding account status.

Key Responsibilities:

• Submits new electronic and paper insurance claims.
• Performs follow-up on outstanding insurance balances, including contacting insurance companies and utilizing the internet.
• Makes decisions regarding account status utilizing carrier-specific billing knowledge.

Additional Duties:

• Reviews outstanding physician insurance claims on a timely basis.
• Processes additional billings as required to obtain maximum payment on accounts.
• Responds to correspondence appropriate to the area of responsibility.
• Communicates effectively with other department staff to resolve insurance billing issues.
• Maintains accuracy of insurance and patient account status.
• Understands payer billing requirements.
• Resolves credit balances.

Requirements:

• High school diploma or equivalent experience.
• Experience in medical billing, medical office setting, and medical terminology preferred.
• Computer proficiency with Microsoft software preferred.

Physical and Mental Requirements:

This role requires the ability to work in a fast-paced environment, handle multiple tasks, and maintain accuracy and attention to detail. The successful candidate will be able to work independently and as part of a team, with regular and predictable attendance and the ability to stay awake during work hours. Overall vision and hearing are necessary, with or without assisted devices. The ability to move freely about the facility and perform the functions of the job is required.

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