Billing and Follow-Up Representative II – Hospital Follow-Up, Medicaid/HMO 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.

• Invoice and follow up on both government and non-government accounts.

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

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

• Engage directly with payers concerning payments owed on accounts and manage mail correspondence.

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

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

• Direct tasks to appropriate workflows to optimize reimbursement and guarantee timely and accurate payment or settlement of claims.

• Investigate claim rejections, implement corrections, take necessary actions, and refer claims to the appropriate team members.

• Follow up on overdue payments with patients and third-party payers, identify causes, and provide further information as needed.

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

• Aid in the training and development of Billing and Follow-up Representative I colleagues.

• Resolve problems related to billing and follow-up matters.

• Carry out additional responsibilities as assigned by the supervisor.

• Keep updated on relevant laws, regulations, Trinity Health’s Integrity and Compliance Program, Code of Conduct, and policies.

⛳️ Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or a related field, with a minimum of three (3) years of direct experience and relevant knowledge of revenue cycle functions and systems.

• Background in a hospital or clinic setting, health insurance company, managed care organization, or another healthcare financial service environment.

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

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

• Proficient 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 skills, along with strong organizational abilities.

• Strong interpersonal abilities for interacting with internal and external customers.

• Meticulous attention to detail, accuracy, and effective time management skills.

• Capability to work independently.

• Ability to conduct billing and follow-up activities efficiently and accurately.

• Comfortable working in a collaborative, shared leadership environment.

• Personal demeanor marked by honesty, integrity, and compassion.

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

• Ability to prioritize work, adapt to frequent changes, and handle multiple tasks/projects simultaneously.

• Willingness to comply with Trinity Health policies and procedures.

🏝️ Benefits

• Remote work opportunity.

• Equal Opportunity Employer.

• Consideration for employment without regard to protected characteristics.