Responsible for ensuring claims are compliant with payer specifications, state and federal regulations, and HIPAA requirements. This role also follows up on accounts receivable and accurately posts electronic and hard copy insurance and patient payments to patient accounts.
The position supports revenue cycle operations for an acute inpatient psychiatric hospital, working closely with insurance verification, utilization review, billing, and collection partners to resolve claim issues, post adjustments, and maintain accurate account balances.
Key responsibilities include claim follow-up, denial research, payment posting, batch balancing, refund processing, and coordination with payers and internal teams to ensure timely reimbursement and accurate account resolution.
High school diploma or equivalent required.
CPC, CCS, or RHIT certification preferred.
1 to 3 years of experience handling billing, accounts receivable, and cash posting in healthcare or a related field.
Strong working knowledge of medical coding, medical terminology, third-party operating procedures, and billing practices.
Working knowledge of EMR and billing systems.
Knowledge of CPT and ICD-9 codes.
Strong verbal and written communication skills.
Ability to multitask, work independently, and perform under pressure.
Ability to operate computers and general office equipment, including fax machine, scanner, and copier.
Excellent time management, organizational skills, problem-solving ability, and critical thinking skills.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 months ago