Job Details

Revenue Cycle Professional Billing (Medical Specialties) is looking for a Senior Billing Clerk/Patient Account Representative for Commercial Insurance Professional Receivables.  Responsible for accurate claim submission, resolve complex insurance inquiries and reimbursement issues; monitor and analyze outstanding insurance receivables with responsibility for ensuring optimal reimbursement.

• Status patient accounts for nonpayment from Commercial Insurances, initiating appropriate follow-up action, respond to all levels of financial inquiries from patients, payers, hospital and department personnel. 
• Monitor and analyze Commercial reimbursement levels. 
• Recommend and implement corrective action for insufficient payment or inappropriate rejections. 
• Analyze nonpayment situations and recommend procedure changes which may resolve such negative trends. 
• Resolve daily edits. 
• Review claim forms for accuracy and completeness.
• Maintain unit productivity and quality assurance requirements.

• High school diploma or equivalent combination of education and experience. 
• Ability to handle multiple tasks timely. 
• Knowledge of Medical Insurance reimbursement policies and procedures. 
• Ability to type 40-60 wpm with accuracy may be necessary. 
• Proficiency in use of computers and software, including Microsoft Office product.  
• Demonstrated excellent verbal and written interpersonal skills. 
• 1-2 yrs office experience, including at minimum six months in a hospital or physician business office. 
• Demonstrated ability to handle multiple items simultaneously and produce high-quality work in a timely, accurate and efficient manner. 
• Demonstrated experience efficiently and professionally handling and protecting items confidential in nature. Demonstrated ability work in a team environment, build trust in the working relationships with other staff and faculty.  
• Demonstrated ability to work independently.  
• Demonstrated attention to details.  
• Demonstrated problem solving abilities are necessary.

• Knowledge of University of Michigan and UMHS policies, procedures and as well as regulatory requirements.  
• Experience with UMHS systems including MiChart, Outlook, Epremis, CHAMPS, Availity, as well as other payer websites.