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

🔥 16 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 for an assigned PBS location • Document claims billed, paid, settled, and follow-up in appropriate systems • Identify and escalate issues affecting accurate billing and follow-up • Contact payers directly for 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 claim payment or settlement • Research claim rejections, make corrections, take corrective actions, or refer claims for resolution • Follow up on delayed payments with patients and third-party payers • Prepare special reports as directed by the supervisor • 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, Trinity Health policies, Integrity and Compliance Program, and Code of Conduct

🎯 Requirements

• High school diploma or Associate's degree in Accounting or Business Administration or related field, and a minimum of three (3) or more years' of direct 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 • 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 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 • Comfortable operating in a collaborative, shared leadership environment • Ability to comply with Trinity Health policies and procedures

🏖️ Benefits

• Work Remote Position • Day shift • Equal Opportunity Employer