Billing and Follow-up Representative I – 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

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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 the revenue operations of an assigned Patient Business Services location • Serve as a member of the billing and follow-up team responsible for billing and follow-up of government and non-government accounts • 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 for 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/or refer claims to appropriate colleagues • Follow up on delayed payments by contacting patients and third-party payers, determining causes for delay, and supplying additional data • Prepare special reports as directed by the Supervisor Billing and Follow-Up • Perform other duties as needed and assigned by the supervisor • Maintain knowledge of applicable laws, regulations, Trinity Health’s Integrity and Compliance Program, Code of Conduct, policies, and procedures

🎯 Requirements

• High School diploma • 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 • 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 in a prompt and accurate manner • Comfortable operating in a collaborative, shared leadership environment • Ability to comply with Trinity Health policies and procedures

🏖️ Benefits

• Equal Opportunity Employer • Day shift • Remote work position