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

🔥 5 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 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 in appropriate systems • Identify and escalate issues affecting accurate billing and follow-up • Contact payers regarding payment due on accounts and review/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 timely, accurate claim settlement • Research claim rejections, make corrections, take corrective actions, and refer claims as appropriate • Follow up on delayed payments with patients and third-party payers • 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 compliance programs, Code of Conduct, policies, and procedures

🎯 Requirements

• High School diploma and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, 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 • 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 in 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 in a prompt and accurate manner • Must be comfortable operating in a collaborative, shared leadership environment • Must possess a personal presence characterized by honesty, integrity, and caring • Must be able to set and organize work priorities and adapt to frequent changes • Must be able to work concurrently on a variety of tasks/projects in a potentially stressful environment • Must possess the ability to comply with Trinity Health policies and procedures