Apply Now Clicking "Apply Now" opens the link in a new window.

Job Summary

We are seeking a Billing/Patient Acct Rep Specialist to oversee the insurance referral/authorization process. This selected candidate for this position will interact with physicians, technicians, front-end clerical staff, billing staff and patients. This person will also work MI-Chart edits. This person will need to investigate edits to see why the edit occurred and what can be done to prevent it in the future.

Responsibilities*

Responsibilities include, but not limited to:

  • Display excellent customer service skills.
  • Serve as liaison between physicians, outpatient associates,  insurance companies and patients in the referral process
  • Work edits in MI-Chart Workques.
  • Check and verify insurance coverage for procedures.
  • Obtain insurance referrals and authorizations for clinical visits, testing and procedures
  • Counsel the patient on their out-of-pocket expenses
  • Explain insurance coverage (i.e. CO-pays, deductibles, out-of-pocket expense) to the patients.
  • Reconcile the charge batches
  • Collect for current and past services for physician and hospital
  • Handle incoming phone calls and walk-ins regarding patient statements, referrals, and authorizations for both physician and hospital services.
  • Assist with cash balancing and reconciliation process  
  • Job duties subject to change

Required Qualifications*

  • High School diploma
  • Two or more years of experience working with patients and/or medical insurance plans.
  • Excellent customer service skills and attendance history.
  • Ability to problem solve and multitask effectively.
  • Candidate must be a team player as well as be able to work independently.
  • Must be able to multitask and successfully manage a fast paced and challenging work environment/duties.

Desired Qualifications*

  • A college degree or an equivalent combination of education and experience.
  • Understand the cash balancing policies and procedures.
  • Have working knowledge about  MI-chart, E-referral,  and Web-Denis
  • General computer literacy including Microsoft Word and Excel
  • Familiar with CPT, HCPC and ICD-9 codes, modifiers
  • Experience in Ophthalmology and/or Plastic Surgery billing

Work Schedule

Hours are either 8:00 to 5:00 or 8:30 to 5:30.

Background Screening

University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.