Munson Healthcare · 23 hours ago
Billing Representative - Remote
United States
Full-time
Remote
Entry Level
2+ years expMunson Healthcare is northern Michigan’s largest healthcare system, serving over half a million residents across 29 counties. The Billing Representative will manage confidential medical information, ensure compliance with billing requirements, and process claims efficiently while providing support to the billing team.
Hospital & Health Care
Responsibilities
Exercises a high degree of control over confidential medical information
Able to establish priorities and meet deadlines with strong problem-solving ability
Keeps current with changing billing requirements and shares pertinent information with billing team members
Follows the daily priority matrix consistently on all assigned tasks
Completes transmission process on electronic billing system for all current claims
Prepares and mails required hard copy claims to insurance companies, patients and/or other responsible parties
Unpaid claims followed up on every 30 days after the initial 45/60 day-processing period
Review and document procedures as appropriate
Review rejections to ensure compliance with third party payers and take concerns to management
Produce credit reports quarterly as required by Medicare
Report all credit balances to the appropriate insurance payer and process according to the payer’s requirements within 30 days
Demonstrates understanding of Hospital reimbursement contracts
Determines if the payment received is in accordance with the third-party payors required reimbursement
Processes coordination of benefits claims, complying with no-fault rules and regulations and all third party payers’ guidelines, in a timely manner
Analyzes and initiates corrective action for patient claims
This analysis includes: auditing charges, 72/24 hour requirements, payments and contractual agreements
Must be able to resolve payment questions with insurance companies
Verifies insurance benefits on problem accounts and assists patients resolve MSP/COB issues
Reviews records in Power Chart to confirm services as separate and distinct when multiple charges have been added to an account
Apply a working knowledge of 3M CCI edits
Uses Power Chart to collect and print records to send with all hard copy Auto Accident and Workers’ Comp claims
May provide billing services for multiple facilities
Reports to financial class billing coordinator and should support team structure with emphasis on commitment to my co-worker
Qualification
Required
High school diploma or GED is required
Two years of related work experience in customer service, healthcare or business field required
Knowledge of third-party payer reimbursement required
Preferred
Associate degree preferred
Benefits
Tuition reimbursement
Full benefits
Paid holidays
Generous PTO
Employee discounts
Free individual retirement counseling
Free wellness platform for you and your family
Personalized support for personal or family challenges
Company
Munson Healthcare
Excellence. Positivity. Teamness. Creativity. Exceptional Experiences.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Shari L. Wilson
President & CEO Munson Home Health
Ellen Smith
Chief Operating Officer, Physician Network
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