Billing Representative

🔥 5 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Munson Healthcare

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1915

🏥 Healthcare

Healthcare

Munson Healthcare is northern Michigan’s largest integrated healthcare system, operating multiple hospitals and care facilities including Munson Medical Center, Cadillac Hospital, Charlevoix Hospital, Grayling Hospital, Kalkaska Memorial Health Center, Manistee Hospital, Otsego Memorial Hospital, and Paul Oliver Memorial Hospital. The system offers a broad range of inpatient and outpatient services — cancer care, cardiology, maternity, neurosciences, orthopedics, primary care, radiology and imaging, stroke care, surgery, home health, hospice, laboratory and pharmacy services, physical therapy, urgent care and virtual/telehealth visits — and supports patients with tools such as a patient portal, an Ask‑a‑Nurse hotline, and price/transparency and financial assistance resources. Munson Healthcare also provides community health programs, clinical education, and employment opportunities across its regional network.

📋 Description

• Exercise a high degree of control over confidential medical information • Establish priorities and meet deadlines using strong problem-solving ability • Keep current with changing billing requirements and share pertinent information with billing team members • Follow the daily priority matrix on assigned tasks • Complete electronic billing transmission for current claims • Prepare and mail hard copy claims to insurance companies, patients, and other responsible parties • Follow up on unpaid claims every 30 days after the initial 45/60-day processing period • Review and document procedures as appropriate • Review rejections for third-party payer compliance and escalate concerns to management • Produce quarterly credit reports as required by Medicare • Report credit balances to insurance payers and process them according to payer requirements within 30 days • Demonstrate understanding of hospital reimbursement contracts • Determine whether payments comply with third-party payer reimbursement requirements • Process coordination-of-benefits claims in compliance with no-fault rules, regulations, and payer guidelines • Analyze patient claims and initiate corrective action, including auditing charges, 72/24-hour requirements, payments, and contractual agreements • Resolve payment questions with insurance companies • Verify insurance benefits on problem accounts and assist patients with MSP/COB issues • Review Power Chart records to confirm services are separate and distinct when multiple charges are added to an account • Apply working knowledge of 3M CCI edits • Use Power Chart to collect and print records for hard copy Auto Accident and Workers’ Comp claims • Provide billing services for multiple facilities as needed • Report to the financial class billing coordinator and support the team structure

🎯 Requirements

• 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 • Associate degree preferred • Hospital billing experience (Rural health) preferred • Must be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella • Must receive a flu vaccine during the flu season in the year hired and annually thereafter, or receive an approved medical or religious exemption

🏖️ Benefits

• Tuition reimbursement • In-person and online development • Access to career hub • 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 • Employee participation in improvement huddles, employee surveys, and town hall meetings