Billing and Follow-up Representative – Hospital Medical Billing Follow-up, Blue Cross Payor

🔥 16 hours ago

🚗 Michigan – Remote

infoinfo

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Logo of Trinity Health

Trinity Health

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 Description

• Perform day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services location • Support the revenue cycle process as part of the billing and follow-up team • Document claims billed, paid, settled, and follow-up in appropriate systems • Identify and escalate issues affecting accurate billing and follow-up activities • Contact payers directly regarding payment due on accounts • Review and respond to mail correspondence accurately and promptly • Communicate with hospital departments to clarify billing discrepancies and obtain demographic, clinical, financial, and insurance information • Investigate overpayments, underpayments, credit balances, and payment delays • Route tasks to correct workflows to maximize reimbursement and ensure claims are paid or settled timely and accurately • Research claim rejections, make corrections, take corrective actions, and/or refer claims for resolution • Follow up on delayed payments with patients and third-party payers, determine causes of delay, and provide additional data as required • Prepare special reports as directed by the Supervisor Billing and Follow-Up • Perform other duties as assigned • Maintain knowledge of applicable laws, regulations, Trinity Health policies, and compliance requirements

🎯 Requirements

• High School diploma and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems in a hospital or clinic environment, health insurance company, managed care organization, or other health care financial service setting • Experience performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience • Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel • Completion of regulatory/mandatory certifications and skills validation competencies preferred • Excellent verbal and written communication and organizational abilities • Strong interpersonal skills • Accuracy, attention to detail, and time management skills • Ability to work independently • Ability to perform billing and follow-up activities promptly and accurately • Ability to work in a collaborative, shared leadership environment • Ability to comply with Trinity Health policies and procedures • Ability to operate a keyboard and communicate extensively by telephone and in person

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