Sr Bill Clk/Pat Acct Rep Hlth

How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Job Summary

Review and resolve both Hospital and Professional registration related denied claims. Contact patients and insurance companies by phone as necessary to ensure health insurance coverage is active and that our information is correct. Work collaboratively with patients and insurance companies when a potential billing issue exists. Communication methods consist of phone, email, patient portal, and written letters. Information obtained is used to correct registration information and allow claim to be rebilled. Consistently demonstrate effective high level customer service. 

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.

Responsibilities*

• Investigate registration related denials, pursuing appropriate corrective actions; obtaining correct insurance information, updating registration for rebilling, or transferring balance to patient pay.
• Initiate calls and written inquiries to patients and or insurance carriers. 
• Receive incoming phone calls from insurance representatives regarding claim issues, related but not limited to registration, billing, or coding and route to the appropriate area for resolution as necessary. 
• Review and suggest changes as necessary to current policies and procedures as they relate to registration denials.
• Investigate discrepancies; take appropriate corrective action when necessary, ensuring compliance.
• Work across teams to ensure denial resolution.  
• Monitor, interpret, and communicate changes to third party reimbursement activities and trends with team and leadership.  
• Represent the unit with limited authority regarding general administrative and operational matters on an as need basis.
• Adhere to patient interview script to ensure the collection of all registration data elements.
• Identify and resolve patient insurance issues that could result in claim rejections or over-payments. Verify insurance eligibility using on-line systems and manual processes to ensure coverage is in effect and patient is listed on the policy. 
• Communicate with insurance companies, other entities such as the Department of Veterans Affairs, and other Michigan Medicine departments on behalf of the patient to resolve issues. When necessary, involve and guide the patient through the steps needed to achieve successful issue resolution.
• Recognize process and system problems and take the appropriate steps to investigate and resolve them. Escalate issues to the appropriate person when necessary. Utilize Lean principles to add value to processes and reduce waste. Attend and participate in operational huddles, meetings, and one-on-one discussions. Represent department with other departments, clinic partners and insurance companies on an 'as needed' basis.
• Meet all Michigan Medicine annual competencies and maintain the highest level of customer service, confidentiality, data integrity, and compliance.

Required Qualifications*

High school diploma or G.E.D; minimum of two (2) years' experience with patient registration or accounts receivable collections in a health care setting with an outstanding record of attendance and punctuality; extensive knowledge of group health plans, government health plans, automobile and workers compensation plans; demonstrated ability to establish and maintain effective relationships with internal and external customers in a manner that consistently meets the organization's expectations for exemplary customer service; strong communication and interpersonal skills; analytical and independent problem-solving skills; ability to resolve issues while maintaining flexibility; computer literacy; ability to enter a substantial amount of data while maintaining a high level of accuracy; technology skills mentioned above as remote job requirements. 

Desired Qualifications*

Hospital and/or professional billing experience; knowledge of third-party reimbursement policies and procedures; knowledge of Michigan Medicine policies, procedures, regulatory requirements, and information systems; Associate's or Bachelor's degree or equivalent experience and education.

Work Locations

• This is a remote position where the staff member will work from home. In-home high speed internet is a requirement for this position and its cost is the responsibility of the employee.  The staff member's internet plan should run at 40 mbps download and 20 mbps upload to prevent common connectivity-related issues. There may be occasions where the staff member may need to report to the business office location, KMS Building - 3621 S. State St. in Ann Arbor, including meetings, training, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary.  Computing resources including required software applications, VPN, desktop computer, monitor, keyboard, mouse, webcam, and headset will be provided by the employer.  Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided by the employer for remote work. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed upon in advance with the supervisor/manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee. This position requires the staff member to agree and abide to the terms outlined in Michigan Medicine's Telecommuting Work Agreement/Remote Work Agreement as well as departmental policies pertaining to remote work. 
• Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as keyboard, mouse, and headset. Remote computing support is available 24/7 via phone, chat, or ticketing system to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources and keep their supervisor informed of the progress. 

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.

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.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.