Billing and Follow-up Representative II – Hospital Medical Billing Follow-up, Medicaid/HMO

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $19 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

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

• Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location • Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts • Provides training and guidance to lower level colleagues and provide problem resolution as needed • Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner • Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information • Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays • Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner • Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution • Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services • Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing • Provides problem resolution to billing and follow-up issues as needed

🎯 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 • Experience in a complex, multi-site environment preferred • Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel • Experience and knowledge of Medicaid/HMO hospital medical billing follow-up experience desirable • Completion of regulatory/mandatory certifications and skills validation competencies preferred • Excellent verbal and written communication and organizational abilities • Strong interpersonal skills are necessary 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