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Michigan Medicine · 11 hours ago

Senior Patient Accts & Billing Representative

Ann Arbor, MI

Full-time

Hybrid

Mid, Senior Level

3+ years exp

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. The Senior Patient Accts & Billing Representative will play an important role in researching insurance eligibility, authorization and billing requirements, while providing the highest quality customer service.

EducationHealth CareMedical

Responsibilities

Perform critical and complex billing functions that require analysis, evaluation, and a thorough understanding of the accounts receivable system. Daily tasks include prescription review, pending orders, benefits, and eligibility analysis, updating WIP icons, communicating with clinicians, and reviewing modifiers and patient signatures

Obtain authorizations as required by various carriers via telephone, fax, and online systems to ensure efficient patient turnaround time

Review charges for accuracy and compliance in secondary system (OPIE) prior to billing (includes referral shells, detailed orders and modifiers) and submit charges via the MiChart interface and ensure charge reconciliation

Review and resolve insurance issues to mitigate claim denials

Provide support to clinicians in researching and explaining insurance/billing information to patients

Provide quality customer service - directly answer/respond to patient financial insurance questions

Provide patient counseling regarding estimated out of pocket financial liability (coinsurance, deductibles, etc.) and coordinate/collect patient payments

Collaborate with Revenue Cycle staff to ensure charges are billed correctly and that the correct authorizations are obtained for specific HCPCS codes

Complete monthly WIP review meetings with assigned clinicians to ensure all active patients are processed timely to reduce delays

Establish and maintain regular communication with patients, physicians, O&P clinicians, and payors to support efficient billing, authorizations, and overall patient care

Qualification

Billing experienceInsurance knowledgePayer portals expertiseMicrosoft ExcelMedical terminologyCommunication skillsOrganizational skillsProblem-solving skillsTeam collaborationConfidentiality

Required

3- 5 years of billing/insurance experience- extensive knowledge of billing requirements and practices of various insurance carriers including but not limited to: auto, worker's compensations, private health, and others such as Tricare, Medicare and Medicaid

Expertise in utilizing payer portals/websites (eligibility and benefits)

Excellent written, verbal and face-to-face communication skills, including ability to effectively explain relevant insurance information to patients, as well as communicate with insurance plans and internal customers. Proper phone etiquette

Ability to work independently and collaboratively in a team-oriented environment; professional and friendly demeanor

Good organizational and time management skills to effectively juggle multiple priorities and time constraints

Ability to exercise sound judgement and problem-solving skills

Proficient in Microsoft Excel, Word, and Outlook

Ability to handle patient and organizational information in a confidential manner

Preferred

Four-year degree in Business Administration or related field

Knowledge of medical terminology, preferably in the field of Physical Medicine & Rehabilitation and DME/Orthotics and Prosthetics

Familiarity with Epic and OPIE systems

Benefits

Excellent medical, dental and vision coverage effective on your very first day

2:1 Match on retirement savings

Company

Michigan Medicine

Glassdoor4.0

Michigan Medicine is a health care system and academic medical center that provides medical education and more. It is a sub-organization of University of Maichigan.

Founded in 1869

Ann Arbor, Michigan, USA

10001+ employees