Billing and Follow Up Representative II – Hospital Payment Variance, Commercial Payors

🔥 1 minute ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $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 • Support the revenue cycle process as part of the billing and follow-up team • 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 • Review and respond to mail correspondence in a timely and accurate manner • 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 appropriate workflows to maximize reimbursement and ensure timely claim payment or settlement • Research claim rejections, make corrections, take corrective actions, and refer claims for resolution • Follow up with patients and third-party payers regarding delayed payments • 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 assigned by the supervisor • Maintain knowledge of applicable laws, regulations, compliance programs, codes of conduct, policies, and procedures

🎯 Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or related field • Minimum of three (3) or more years of 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 equivalent combination of education and experience • 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 • Accuracy, attention to detail, and time management skills • Ability to work independently • Ability to perform billing and follow-up activities in a prompt and accurate manner • Must be comfortable operating in a collaborative, shared leadership environment • Must possess honesty, integrity, caring, and the ability to inspire and motivate others • Must be able to set and organize work priorities and adapt to frequent changes • Must be able to work concurrently on multiple tasks/projects in a potentially stressful environment • Must comply with Trinity Health policies and procedures

🏖️ Benefits

• Remote work position • Day shift • Training and education opportunities • Equal opportunity employment