Job Summary
This position is responsible for obtaining and verifying patient demographic, clinical and insurance information as required prior to initiating home infusion services and contribute to completing the workload of the home infusion referral/reimbursement intake team. Additionally, performs critical and complex intake related functions requiring analysis, evaluation and an in-depth understanding of home infusion reimbursement pathways, reviews and verifies insurance accounts against program provisions (e.g., Medicare, Blue Cross), and provides assistance in training personnel in related intake functions.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Why Join Michigan Medicine?
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.
What Benefits can you Look Forward to?
- Excellent medical, dental and vision coverage effective on your very first day
- 2:1 Match on retirement savings
Responsibilities*
- Completes referral processing and documentation functions based on existing practices and procedures.
- Provides patient account information and answers customer inquiries.
- Reviews patient accounts and determines appropriate action needed to collect payment.
- Makes outbound calls to insurance companies and patients to verify insurance benefits.
- Achieves productivity goals based on obtaining timely documentation and processing of referrals.
- Thoroughly reviews new patient services on a regular basis and provides the necessary documentation to ensure timely reimbursement.
- Handles duties and tasks that reflect substantial variety and complexity.
- Applies advanced skills to the position within assigned function area.
- Adapts procedures, processes, and techniques to accomplish the goals of the organization.
- Serves as a resource to others in the resolution of complex problems and issues.
- Assists other Intake staff with complex patient accounts and phone calls.
- Trains new and existing staff regarding applicable department policies and practices.
- Applies advanced skills in performance of critical and complex intake-related functions
- Assists billing staff with resolution of complex billing issues and conducts problem-solving in a professional manner
- Takes initiative in independently resolving a variety of complex issues and problems and serves as a subject matter expert and resource to others within the department
- Prepares special and periodic intake activity or other reports as requested
- Participate in formulation, evaluation, and revision of departmental policies and procedures
- Facilitates training and education for departmental staff
- Adapts to change in a positive and constructive manner
- Patient and Family Centered Care
- Actively engages the patient and family, as applicable, by exhibiting respect and dignity, sharing information in a timely and unbiased manner, and welcoming and encouraging participation to achieve shared decision making.
- Collaborates with other members of the team, including the patient and family, to achieve the ideal patient care experience
Performs other duties as assigned.
Required Qualifications*
Senior Billing Clerk:
- 4 or more years of health care intake or billing experience
- Exemplary communication and customer service skills
- Ability to manage multiple tasks simultaneously while meeting strict deadlines.
- Computer proficiency, including Excel spreadsheets
- Enhanced analytical skills
- Leadership skills and the ability to promote a positive work environment
- Ability to travel from point A to B through the workday as assigned
Patient Account Specialist
- Applicants with relevant experience less than outlined in these requirements may be considered for an entry-level position
- Maintenance and query writing using Microsoft Access
- Excellent interpersonal are essential
- Excellent oral and written communication skills
- Experience in parenteral medication infusion or infusion nursing referral processing
- Proficiency in using and understanding medical terminology
- Demonstrated experience in electronic database creation
Physical Demands:
The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodations: ability to work in a sedentary position for long periods of time, ability to communicate/ exchange information, fine motor coordination/dexterity necessary for keyboarding or typing, and may require reaching, bending, twisting, stooping, moving about, lifting of up to 10 pounds, etc., with or without the use of assistive/adaptive devices
Desired Qualifications*
- Ability to read and interpret documents such as safety rules, operating and maintenance instructions, procedure manuals, governmental regulations, and insurance company requirements.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to interpret a variety of instructions furnished written, oral, diagram, or schedule form.
Work Locations
This position is located at 2850 S. Industrial Hwy. Suite 50, Ann Arbor, MI
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Underfill Statement
This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.
Background Screening
Michigan Medicine 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. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled any time after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.