University of Michigan Health-Sparrow · 1 day ago
SHS-BILLING CLERK
Lansing, MI
Full-time
Onsite
Entry Level
1+ years expUniversity of Michigan Health-Sparrow is seeking a Billing Clerk to perform duties related to the billing of inpatient and outpatient accounts. The role involves ensuring accurate billing practices, following up on accounts, and maintaining confidentiality regarding patient information.
Hospital & Health Care
Responsibilities
Provide insurance companies with copies of bills, via electronic or manual billing
Verify that the proper demographic and insurance information has been obtained to ensure that only accurate clean bills are forwarded to insurance companies and patients
Handle incoming and outgoing telephone calls to patients/families and insurance companies
Bill secondary insurance companies as required
Work accounts to resolution utilizing the appropriate tools, i.e. Workstation, aging reports, special project reports to secure pmt. from responsible payer
Work unpaid high dollar priority balances: a) send status to secure payment; b) call insurance companies to ask for unpaid balance; c) identify and take appropriate corrective action for insurance over and underpayments; d) bill patients for private pay balances
Process mail pertaining to accounts
Responsible for providing supervisor with weekly statistics of claims submitted
Responsible for understanding corporate compliance rules and regulations as it relates to billing
Maintain confidentiality regarding patient bills & records
Serves as a role model for consistent demonstration of Sparrow Health System’s Customer Service Behavioral Standards of Performance, by respecting the Privacy and Confidentiality of those we serve
Demonstrates knowledge and respects patient, service provider, and organizational confidentiality and HIPAA Security procedures and protocols as defined under the HIPAA Privacy and Security Procedures
Follows established HIPAA privacy procedures when using and/or disclosing protected health information
Maintains and protects patients’ rights under the HIPAA Privacy standards
Qualification
Required
Billing Certificate from an Accredited School/College; OR High School Diploma or GED and a minimum of 1 (one) year of medical billing experience in a health care environment
Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course
Demonstrated excellent communication and interpersonal skills
Demonstrated knowledge/understanding of ICD-10 and CPT-4 coding
Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job
Working knowledge of Uniform Billing Guidelines, NCCI/MUE/OCE/LCD editing and generalized insurance follow-up workflows
Must possess strong analytical thinking and customer service skills
Preferred
Knowledge of UB04 Billing form
Company
University of Michigan Health-Sparrow
As Mid-Michigan’s premier healthcare organization and the region’s largest private employer, University of Michigan Health-Sparrow provides quality care to hundreds of thousands of people each year.
5001-10000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase