Billing and Follow Up Representative II – Hospital Payment Variance, Commercial Payors

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.

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

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

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

• Engage directly with payers concerning payments due on accounts.

• Timely and accurately review and 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.

• Direct tasks to appropriate workflows to enhance reimbursement and ensure prompt claim payment or resolution.

• Analyze claim rejections, implement corrections, take necessary actions, and escalate claims for resolution.

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

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

• Aid in the training and education of Billing and Follow-Up Representative I colleagues.

• Provide solutions for billing and follow-up challenges.

• Undertake additional responsibilities as assigned by the supervisor.

• Stay informed about relevant laws, regulations, compliance programs, codes of conduct, policies, and procedures.

⛳️ Requirements

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

• At least three (3) years of direct experience and pertinent knowledge of revenue cycle functions and systems.

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

• Background in medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or a comparable blend of education and experience.

• Proficiency in Microsoft Office Suite, 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.

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

• Capability to work independently.

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

• Comfortable operating in a collaborative, shared leadership environment.

• Must embody honesty, integrity, compassion, and the ability to motivate and inspire others.

• Ability to prioritize and organize work effectively and adapt to frequent changes.

• Capable of managing multiple tasks/projects concurrently in a potentially high-pressure environment.

• Must adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Remote work position.

• Day shift hours.

• Opportunities for training and education.

• Equal opportunity employment.