Revenue Cycle Professional Billing (Medical Specialties) is looking for a Senior Billing Clerk/Patient Account Representative for BCBS/BCN 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 BCBS/BCN, initiating appropriate follow-up action, responding to all levels of financial inquiries from patients, payers, hospital and department personnel.
- Monitor and analyze BCBS/BCN 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.
- Direct experience related to hospital or professional billing, which may include recent completion of a medical billing program.
- 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 (epic), Outlook, Waystar, CHAMPS, Availity, as well as other payer websites.
- Professional or Facility billing experience within the last 5 years.
- 2-3 years? office experience, including 1-2 years in a hospital or physician business office performing Commercial collection functions.
- Facility Billing experience could be considered.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.
