Billing Representative- Primary Care-Full Time Days

Henry Ford Health Corp • South Lyon, MI

436d

About The Position

The Billing Representative for Primary Care at Henry Ford Health is responsible for determining and verifying insurance coverage, ensuring timely billing, and communicating with patients and practitioners regarding financial responsibilities. This role is essential in maintaining accurate documentation and resolving billing issues to facilitate prompt payment for services rendered.

Requirements

• High School diploma or GED or 1 year of applicable cumulative job-specific experience required.
• Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Responsibilities

• Determine and verify insurance coverage and coordination of benefits for assigned area.
• Ensure proper and timely billing to facilitate prompt payment.
• Confirm insurance coverage and determine necessity for pre-authorization for scheduled procedures.
• Notify patients and/or practitioners of any services not authorized by insurance.
• Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
• Maintain detailed documentation in the patient account record of all billing activities.
• Prepare and complete claims for commercial insurance companies, third party organizations, and government or self-payers.
• Research, analyze, and reconcile Medicare/Medicaid billing and reimbursement practices.
• Consult with appropriate parties to resolve unbilled claims.
• Review recent accounts for proper billing practices and reimbursement.

Benefits

• Dental insurance
• Health insurance
• Tuition reimbursement

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees