Billing and Follow Up Representative II – Hospital Payment Variance, Commercial Payors

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 daily billing and follow-up activities within revenue operations for an assigned Patient Business Services location • Document claims billed, paid, settled, and follow-up activity in appropriate systems • Identify and escalate issues affecting accurate billing and follow-up • Contact payers regarding payment due and review mail correspondence • Communicate with hospital departments to clarify billing discrepancies and obtain required information • Investigate overpayments, underpayments, credit balances, and payment delays • Route tasks to appropriate workflows to maximize reimbursement and ensure timely claim payment or settlement • Research claim rejections, make corrections, take corrective actions, and refer claims for resolution • Follow up on delayed payments with patients and third-party payers • Prepare special reports as directed by the supervisor • Train and educate Billing and Follow-up Representative I colleagues • Provide problem resolution for billing and follow-up issues • Perform other duties assigned by the supervisor

🎯 Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or related field • Minimum of three (3) years of direct experience and relevant knowledge of revenue cycle functions and systems • Experience working within 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 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 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 promptly and accurately • Comfort operating in a collaborative, shared leadership environment • Ability to demonstrate honesty, integrity, caring, and alignment with Trinity Health’s mission, vision, goals, and values • Ability to operate in a typical office environment and use a keyboard • Ability to communicate extensively by telephone and in person • Ability to organize work priorities, adapt to frequently changing priorities, and manage multiple tasks/projects • Ability to comply with Trinity Health policies and procedures

🏖️ Benefits

• Remote work position • Day shift • Equal opportunity employment • Mission- and values-driven work environment