MSO Billing and Reimbursement Coordinator - Patient Financial Ser. Days ( M- F 8am-5pm ) 40hrs/wks

University of Michigan Health-West•Wyoming, MI

About The Position

The Billing and Reimbursement Coordinator serves as a leader in the billing area, manages accounts receivable, and acts as the department’s technical expert in their specialty area. The coordinator is responsible for the daily oversight of assigned department operations, maintaining billing quality and productivity, and supporting staff through training, coaching, and issue resolution. The role works with internal departments and third-party payers to support accurate billing and reimbursement.

Requirements

Minimum high school diploma or an equivalent combination of education and experience.
Technical and professional skills in medical or hospital billing, including insurance verification and benefit determination, medical terminology as it relates to billing, and understanding of the reimbursement cycle.
Proficiency with computer functions, including automated systems for third-party billing and insurance follow-up.
Ability to work efficiently and effectively under tight deadlines, interruptions, and high work volume.
Thorough knowledge of HIPAA requirements relevant to job functions.
Ability to work independently with minimal supervision.
Good oral and written communication skills.
Ability to manage multiple requests and projects simultaneously.

Nice To Haves

Associate degree in accounting or business administration is highly desired.
One to two years of prior work experience in a health care setting is strongly preferred.
Certified Revenue Cycle Representative certification is a plus.

Responsibilities

Manage accounts receivable for assigned areas and maintain standards set by the director.
Develop and maintain knowledge and skills in hospital billing and reimbursement, and disseminate information or train staff.
Maintain knowledge of compliance regulations, standards, and directives from governmental or regulatory agencies and third-party payers.
Maintain billing and follow-up quality to support effective tracking and collection of reimbursement.
Participate in interdepartmental projects, including provider onboarding, practice and provider education, coding review, and special projects.
Review claims daily for accuracy and required attachments using electronic billing software.
Identify underpayments based on contract language and work with the contracting department.
Maintain daily work queues according to payer requirements, including late charges or credits, multiple visits in one day, the 3-day rule, insurance coverage changes, claim errors, payer denials, and insurance follow-up.
Perform quality reviews and analysis to support internal controls and monitor employee performance.
Provide staff training, coaching, and support; identify, assess, and resolve issues; and keep the director apprised of progress.
Provide input into recruitment and corrective-action decisions, as well as performance evaluations.
Oversee daily operations within the assigned department.
Meet quality and productivity standards established by management.
Work additional hours, including evenings or weekends, when needed to achieve team goals.
Provide coverage and support for other teams.