MHC-McLaren Health Care Hiring for Billing/Follow-up Rep Facility (Remote) Job at United States Full Time

Billing/Follow-up Rep Facility (Remote)

– (22007177)

• Responsible promptly, professionalyand courteously to all customers needs.

• Cooperates and communicates effectively with all McLaren Health Care team members.

• Contributes to continuous quality improvement efforts.

• Completes tasks accurately and timely.

• Organizes time and prioritizes effectively.

• Practices cost effective measures.

• Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

• Interprets third party requirements and appropriately bills for facility and physician services within time filing requirements.
• Performs necessary maintenance to patient accounts in the billing and claims editing systems.
• Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.
• Contacts insurance companies regarding unreleased and unprocessed bills.
• As assigned, Insurance Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner.
• Works with other departments and insurance companies to resolve bill/claim edits.
• Notify Analyst of edits that needs to be built and Denials Rep for denial trends.
• Coordinates and monitors billing activities relating to bone marrow transplant package pricing.

• Performs necessary maintenance to patient accounts in the hospital and claims editing systems.
• Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.
• Contacts insurance companies regarding outstanding insurance bills.
• Follows-up on Age Trial Balance Report monthly.
• As assigned, Billing Specialist will be responsible for developing relationships and working with respective vendors in a timely and professional manner.
• Notify Analyst of edits that needs to be built and Denials Rep for denial trends.
• Resolves issues involving third party payor and self-pay claims.

Minimum:

• High School Diploma or GED

Preferred:

• Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.
• Working knowledge of CPT, HCPCS, and ICD-1
• One year experience in hospital financial or patient services

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans