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 revenue operations for a designated Patient Business Services location.

• Assist in the revenue cycle process as part of the billing and follow-up team.

• Record claims that have been billed, paid, settled, and followed up in the relevant systems.

• Recognize and escalate issues that impact accurate billing and follow-up.

• Contact payers concerning payments owed on accounts and review/respond to mail correspondence.

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

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

• Direct tasks to appropriate workflows to maximize reimbursement and ensure timely and accurate claim settlement.

• Research claim rejections, rectify errors, take corrective actions, and refer claims as needed.

• Follow up on delayed payments with patients and third-party payers.

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

• Perform additional duties as assigned.

• Stay informed about applicable laws, regulations, Trinity Health compliance programs, Code of Conduct, policies, and procedures.

⛳️ Requirements

• High School diploma with a minimum of one (1) year of experience and relevant knowledge of revenue cycle functions and systems in a hospital or clinic environment, a health insurance company, managed care organization, or other healthcare financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience.

• Experience in a complex, multi-site environment is preferred.

• Fundamental understanding of Microsoft Office, 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 when interacting with both internal and external customers.

• Accuracy, attention to detail, and effective time management skills.

• Capacity to work independently.

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

• Comfortable operating within a collaborative, shared leadership environment.

• Personal presence must exemplify honesty, integrity, and compassion.

• Ability to set and prioritize work tasks and adapt to frequent changes.

• Capable of managing multiple tasks/projects concurrently in a potentially stressful environment.

• Must have the ability to adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive work environment promoting collaboration and teamwork.