UMH Sparrow Health System - BILLING SPECIALIST

Sparrow • Lansing, MI

11d • Onsite

About The Position

The Hospital Billing Specialist is responsible for the accurate and timely billing, for assigned healthcare claims. This role focuses on identifying and resolving billing errors, verifying claim accuracy, and submitting clean claims to payers to support efficient revenue collection.

Requirements

• High school diploma or GED
• Ability to work independently with minimal supervision.
• Good oral and written communication skills.
• Proficiency with computer functions, including ability to use automated systems for third party billing and insurance follow up.
• Professional, business-like appearance and demeanor
• Recognizes and reports problems, errors, and discrepancies to management.
• Share information with co-workers.
• Ability to contribute to team efforts.
• Ability to assist with training of new employees as needed.

Nice To Haves

• EPIC or Revenue Cycle Certification preferred.
• Experience working in an accredited hospital or physician office preferred.

Responsibilities

• Review and resolve billing claim edits and errors daily, prior to submission to payers, for accuracy utilizing electronic billing software.
• Collaborates with coding, registration, and other revenue cycle and clinical departments to resolve issues impacting claim quality.
• Maintains daily work queues according to payer requirements, including late charges/credits, multiple visits in one day, 3-day rule, changes in insurance coverage, and claim errors.
• Files claims to payers in a timely manner to assure prompt reimbursement.
• Documents actions taken in the billing system according to department standards.
• Maintain quality and productivity standards and participate in meetings to discuss recurring issues.
• Knowledge of payer guidelines, including utilization of payer websites and other tools.
• Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning, and continuing education opportunities, and participating in committees, task forces, and work groups as determined by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED