Performs duties necessary to facilitate payment from third-party payers, including correct billing, statusing and collection from third parties, posting payments when applicable, computing correct reimbursement, processing incoming and outgoing correspondence, and maintaining knowledge of current contracts and government regulations across multiple entities.
This role supports revenue cycle operations in a business office setting and focuses on resolving billing issues, reducing outstanding revenue, maximizing reimbursement, and ensuring compliance with payer, state, federal, and HIPAA regulations.
Additional responsibilities include analyzing CPT-4, ICD-9, UB-04, and HCFA 1500 charges for accuracy, handling third-party and internal information requests and rejections, processing documents related to liabilities, credits, and unbilled accounts, making adjustments and refunds, and verifying insurance eligibility through automated online systems.
Shift: First Shift
Scheduled Weekly Hours: 40
Cost Center: 1218 Cash Posting and Self-Pay (BHG)
Qualifications
- High school diploma or GED required
- Associate's degree in business or finance preferred, or equivalent experience in medical billing, receivables, or collections
- Strong computer and general office equipment knowledge
- Knowledge of medical terminology, ICD-9, CPT-4 coding, national billing forms, third-party payers, managed care, reimbursement, and regulatory compliance preferred
- Ability to type 45 words per minute
- Effective communication skills with patients, customers, and co-workers
- Ability to quickly analyze communication style based on the nature and approach of verbal inquiry
- Successful completion of EUPA's for all Epic applications associated with the position within the first 90 days
Physical Demands
- Regular walking, standing, stooping, bending, sitting, and occasional light lifting
- Work involves high levels of mental and visual concentration
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago