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:

N/A

Required Education:

High School Diploma or GED

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.

Equivalent Experience and Other Comments (Education):