Billing and Follow-up Representative I – 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.

• Act as a member of the billing and follow-up team responsible for the billing and follow-up of both government and non-government accounts.

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

• Identify and escalate issues that impact the accuracy of billing and follow-up operations.

• Directly contact payers to collect payments due on accounts and review as well as respond to mail correspondence.

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

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

• Assign tasks to appropriate workflows to enhance reimbursement and ensure claims are settled or paid accurately and on time.

• Research claim denials, implement corrections, take corrective actions, and/or refer claims to the relevant colleagues.

• Follow up on overdue payments by reaching out to patients and third-party payers, identifying reasons for delays, and providing additional information as necessary.

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

• Carry out additional duties as required and assigned by the supervisor.

• Maintain familiarity with applicable laws, regulations, Trinity Health’s Integrity and Compliance Program, Code of Conduct, policies, and procedures.

⛳️ Requirements

• High School diploma.

• 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 settings, including medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience.

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

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

• Outstanding verbal and written communication skills along with strong organizational abilities.

• Excellent interpersonal skills.

• Strong focus on accuracy, attention to detail, and effective time management skills.

• Capability to work independently.

• Competence in executing billing and follow-up activities promptly and accurately.

• Comfort in working within a collaborative, shared leadership environment.

• Ability to adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Equal Opportunity Employer.

• Day shift.

• Remote work position.