Billing and Follow-up Representative – Hospital Medical Billing Follow-up, Blue Cross Payor

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Execute daily billing and follow-up tasks within the revenue operations of a designated Patient Business Services location.

• Contribute to the revenue cycle process as a member of the billing and follow-up team.

• Record claims that are billed, paid, settled, and followed up in the appropriate systems.

• Recognize and escalate issues that may hinder accurate billing and follow-up efforts.

• Engage with payers directly regarding outstanding payments on accounts.

• Assess and respond to mail correspondence in a timely and accurate manner.

• Coordinate with hospital departments to resolve billing discrepancies and gather demographic, clinical, financial, and insurance information.

• Examine overpayments, underpayments, credit balances, and payment delays.

• Assign tasks to correct workflows to optimize reimbursement and ensure claims are settled or paid accurately and promptly.

• Investigate claim rejections, rectify errors, implement corrective measures, and/or escalate claims for resolution.

• Follow up on delayed payments with patients and third-party payers, identify root causes of delays, and provide additional information as necessary.

• Generate special reports as requested by the Supervisor of Billing and Follow-Up.

• Carry out additional responsibilities as assigned.

• Stay informed about relevant laws, regulations, Trinity Health policies, and compliance requirements.

⛳️ Requirements

• High School diploma along with a minimum of one (1) year of experience and pertinent knowledge of revenue cycle functions and systems in a hospital or clinic setting, health insurance company, managed care organization, or other healthcare financial service environment.

• Experience in medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or a comparable mix of education and experience.

• Basic proficiency in Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel.

• Completion of regulatory/mandatory certifications and skills validation competencies is preferred.

• Exceptional verbal and written communication and organizational skills.

• Strong interpersonal abilities.

• Attention to detail, accuracy, and effective time management skills.

• Capability to work independently.

• Ability to perform billing and follow-up tasks efficiently and accurately.

• Capacity to work in a collaborative, shared leadership environment.

• Adherence to Trinity Health policies and procedures.

• Proficient in operating a keyboard and engaging in extensive communication via telephone and in person.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive work environment with a focus on teamwork.