Billing and Follow-Up Representative II – Hospital Follow-Up, Medicaid/HMO Payor

🔥 14 hours ago

🚗 Michigan – Remote

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💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 revenue operations for an assigned Patient Business Services location • Bill and follow up on government and non-government accounts • Document claims billed, paid, settled, and follow-up activities in appropriate systems • Identify and escalate issues affecting accurate billing and follow-up • Contact payers directly regarding payment due on accounts and review and respond to mail correspondence • 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 refer claims to appropriate colleagues • Follow up on delayed payments with patients and third-party payers, determine causes, and provide additional data as required • Prepare special reports as directed by the Supervisor Billing and Follow-Up • Assist in training and educating Billing and Follow-up Representative I colleagues • Provide problem resolution for billing and follow-up issues • Perform other duties as assigned by the supervisor • Maintain knowledge of applicable laws, regulations, Trinity Health’s Integrity and Compliance Program, Code of Conduct, and policies

🎯 Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or related field, and a minimum of three (3) or more years' direct experience and relevant knowledge of revenue cycle functions and systems • Experience 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 • Experience in a complex, multi-site environment preferred • Proficiency in 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 for dealing with internal and external customers • Accuracy, attention to detail, and time management skills • Ability to work independently • Ability to perform billing and follow-up activities promptly and accurately • Comfort operating in a collaborative, shared leadership environment • Personal presence characterized by honesty, integrity, and caring • Ability to operate a keyboard and communicate extensively by telephone and in person • Ability to organize work priorities, adapt to frequent changes, and work concurrently on multiple tasks/projects • Ability to comply with Trinity Health policies and procedures

🏖️ Benefits

• Remote work position • Equal Opportunity Employer • Consideration for employment without regard to protected characteristics

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