Billing and Follow-up Representative – II

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

📋 Description

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

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

• Process billing and follow up on both government and non-government accounts.

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

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

• Directly contact payers regarding outstanding payments and manage mail correspondence effectively.

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

• Investigate matters related to overpayments, underpayments, credit balances, and payment delays.

• Direct tasks to the suitable workflows to maximize reimbursement and ensure timely claim payment or settlement.

• Research claim rejections, make necessary corrections, take corrective actions, and refer claims to the appropriate colleagues.

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

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

• Assist in training and mentoring Billing and Follow-Up Representative I colleagues.

• Provide solutions for billing and follow-up challenges.

• Carry out additional duties as assigned.

• Report directly to a Supervisor of Billing & Follow-Up.

⛳️ Requirements

• A high school diploma or Associate's degree in Accounting, Business Administration, or a related field, coupled with a minimum of three (3) years of direct experience and relevant knowledge of revenue cycle functions and systems in a hospital or clinic environment, health insurance company, managed care organization, or another healthcare financial service setting; an equivalent combination of education and experience is also acceptable.

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

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

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

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

• Strong interpersonal skills.

• High level of accuracy, attention to detail, and effective time management skills.

• Ability to work independently.

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

• Ability to thrive in a collaborative, shared leadership environment.

• Honesty, integrity, compassion, and the ability to inspire and motivate others.

• Must be able to operate a keyboard and communicate extensively via telephone and in person.

• Must be capable of organizing work priorities, adapting to changing priorities, and managing multiple tasks/projects concurrently.

• Ability to adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Remote work opportunity.

• Day shift schedule.

• Equal Opportunity Employer.