Billing and Follow-up Representative II – Hospital Medical Billing Follow-up, All Payors

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

📋 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 a member of the billing and follow-up team.

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

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

• Directly contact payers regarding outstanding payments on accounts.

• Review and respond to mail correspondence swiftly and accurately.

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

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

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

• Research claim rejections, implement corrections, take necessary actions, and refer claims when needed.

• Follow up on delayed payments by reaching out to patients and third-party payers.

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

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

• Provide resolutions for billing and follow-up challenges.

• Carry out additional tasks assigned by the supervisor.

• Stay informed about relevant laws, regulations, Trinity Health’s Integrity and Compliance Program, Code of Conduct, policies, and procedures.

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

⛳️ Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or a related field.

• 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 other healthcare financial service settings.

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

• Experience with critical access and/or rural health is highly desirable.

• Experience with denials billing, payment variances, and payer escalation is highly desirable.

• Familiarity with the Epic medical billing system.

• Proficient in Microsoft Office applications, 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 for effective interaction with internal and external customers.

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

• Ability to work independently.

• Capable of conducting billing and follow-up activities promptly and accurately.

• Comfortable operating in a collaborative, shared leadership environment.

• Must embody honesty, integrity, and caring, and promote Trinity Health’s philosophy, mission, vision, goals, and values.

• Ability to adhere to Trinity Health policies and procedures.

• Manual dexterity to operate a keyboard.

• Adequate hearing for extensive telephone and in-person communication.

🏝️ Benefits

• [Benefits details would go here]

• [Additional benefits if applicable]