Billing and Follow-up Representative II – Hospital Medical Billing Follow-up, All Payors

🔥 10 hours ago

🚗 Michigan – Remote

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💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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Logo of Trinity Health

Trinity Health

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 directly regarding payment due on accounts • Review and respond to mail correspondence accurately and promptly • 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 by contacting patients and third-party payers • 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, Trinity Health’s Integrity and Compliance Program, Code of Conduct, policies, and procedures • Report directly to a Supervisor Billing & Follow-Up

🎯 Requirements

• High school diploma or Associate's degree in Accounting or Business Administration or related field • Minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems 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 with critical access and/or rural health highly desirable • Experience with denials billing, payment variance, and payor escalation highly desirable • Experience with the Epic medical billing system • 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 • Must possess honesty, integrity, caring, and ability to promote Trinity Health’s philosophy, mission, vision, goals, and values • Ability to comply with Trinity Health policies and procedures • Manual dexterity to operate a keyboard • Hearing sufficient for extensive telephone and in-person communication

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