Senior Patient Accts & Billing Representative jobs in United States
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University of Michigan · 9 hours ago

Senior Patient Accts & Billing Representative

The University of Michigan Orthotics and Prosthetics Center is dedicated to providing high quality orthotic, prosthetic, and pedorthic services. The Senior Patient Accts & Billing Representative will play a crucial role in managing insurance eligibility and billing processes while ensuring excellent customer service for patients and families.

E-LearningEducationHigher EducationUniversities
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Growth Opportunities
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H1B Sponsor Likelynote

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

University of Michigan

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The mission of the University of Michigan is to serve the people of Michigan and the world through preeminence in creating, communicating, preserving, and applying knowledge, art, and academic values, and in developing leaders and citizens who will challenge the present and enrich the future.

H1B Sponsorship

University of Michigan has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (662)
2024 (594)
2023 (787)
2022 (473)
2021 (411)
2020 (324)

Funding

Current Stage
Late Stage
Total Funding
$359.75M
Key Investors
Michigan Economic Development CorporationNational Institutes of HealthBreakthrough T1D
2025-07-17Grant· $1M
2025-06-07Grant· $1.17M
2025-04-23Grant

Leadership Team

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Greg McGuire
Managing Director, Mcity
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Robert Goodspeed
Chair, Urban and Regional Planning Program
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Company data provided by crunchbase