Greater Chicago Midwest HERC

Why Join the Revenue Cycle Department, Billing & Third Party Collections Team? 

We are seeking a Senior Billing Clerk/Patient Account Representative to join our dedicated team of revenue cycle professionals for our Hospital Billing Team. We are in search of a highly motivated individual whose primary responsibilities will include accurate claim submissions, active collections, and resolving complex insurance inquiries and reimbursement issues. In this position, you will also play a vital role in monitoring and analyzing outstanding insurance receivables with responsibility for ensuring optimal reimbursement. 

• Promote and maintain Revenue Cycle integration and claim standards for Hospital Billing.
• Accountable for outpatient commercial accounts within system work queues and clearinghouses.
• Review and resolve claims for accuracy based on payer standards. 
• Complete all identified insurance required edits through electronic billing systems. 
• Investigate payer responses and claim denials pursuing appropriate corrective action through write-offs, refunds, and/or transfers based on payer guidelines and contract agreements.
• Following compliance standards, investigate discrepancies and take appropriate corrective action for claim resolution/reimbursement.
• Contact appropriate third-party representatives, payer liaisons for status, information and/or claim issues escalation, ensuring professional and Michigan Medicine standards. 
• Monitor and interpret reimbursement changes and trends. Reporting trends to Leadership.
• Respond and assist with complex billing, collecting, and/or operational inquiries from internal stakeholders, third parties and other customers. 
• Assist in system testing for billing results. 
• Meet with the Billing Manager/Supervisor regularly to effectively communicate and resolve billing/payer issues. 
• Attend applicable training program initiatives which include but are not limited to MPAA sessions, third party seminars, and in-house training.
• Represent the unit with limited authority regarding general administrative and operational matters on an as-needed basis.
• Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, Federal, State and local requirements and JCAHO standards. 
• Ability to respect and protect confidential information, work in a team environment, build trust in the working relationships with other staff and faculty, and work independently.

• High school diploma or equivalent combination of education and experience. 
• 2 or more years' experience within Revenue Cycle operations.
• Proficient usage of computers and software, including Microsoft 365 and Google products.
• Excellent verbal and written interpersonal skills. 

• Previous medical billing experience (Hospital, Professional, DME, etc.) preferred.
• Knowledge of University Health System policies, procedures and regulations. 
• Experience within Billing systems; Epic, Waystar, Epremis.
• Understanding hospital reimbursement contracts. 
• Ability to stay abreast of Federal coding requirements and guidelines. 
• Ability to submit clean claims and collect from private insurers, Medicaid and Medicare.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

The University of Michigan is an equal employment opportunity employer.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

Connections working at University of Michigan - Ann Arbor