"Sr Bill Clk/Pat Acct Rep Hlth"

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.

Minimum 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.

Preferred Qualifications:

• 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.
• Professional or Facility billing experience within the last 5 years.
• 2-3 year's office experience, including 1-2 years in a hospital or physician business office performing Commercial collection functions.
• Facility Billing experience could be considered.