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

🕒 August 7

🚗 Michigan – Remote

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💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 32%

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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 • 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, and/or refer claims for resolution • Follow up on delayed payments with 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 to billing and follow-up issues • Perform other duties assigned by the supervisor • Report directly to a Supervisor Billing & Follow-Up

🎯 Requirements

• High school diploma or Associate's degree in Accounting, 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 • 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 • 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 • Accuracy, attention to detail, and time management skills • Ability to work independently • Ability to perform billing and follow-up activities promptly and accurately • Ability to operate in a collaborative, shared leadership environment • Ability to comply with Trinity Health policies and procedures • Complex, multi-site environment experience preferred

🏖️ Benefits

• Equal Opportunity Employer • Day shift • Remote work position

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