Patient Account Representative - MyMichigan Health

Summary:

This position is responsible for billing and follow up of insurance accounts. It includes verification of benefits and communication with the insurance companies. It requires a broad knowledge of the hospital charge posting system and working with the hospital departments to verify charges, captures lost charges, and to review the general appropriateness of account balances.

Responsibilities:

(25%)* Verify inpatient and outpatient accounts for insurance eligibility

 

(25%)* Follow up on outstanding accounts receivable

 

(25%)* Review claims for correct codes, appropriate charges and general accuracy

 

(25%)* Post payments and adjustments according to payer requirements

 

OTHER DUTIES AND RESPONSIBILITIES:

Resolve credit balances.

Rebilling accounts for secondary insurance billing.

Miscellaneous duties as assigned.

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows.

An employee may be required to participate in further learning opportunities offered by MyMichigan Health

Certifications and Licensures:

-

Required Education:

Education: High School Diploma or GED

 

Comments: Four years in hospital setting with emphasis on insurance billing and computers is preferred. Additional courses in medical terminology and experience with Excel and Word are preferred.

Other Information:

EXPERIENCE, TRAINING AND SKILLS:

Typing skills of 50 WPM is required.

10 key experience and efficiency required.

Ability to work well under pressure is required.

 

Windows PC and Internet experience is required.

 

Ability to work well in a team environment cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.

Two years in billing setting with some insurance experience and problem solving is required.

Equivalent Experience and Other Comments (Education):