MSO Billing and Reimbursement Coordinator-Patient Financial Services* Days 40hrs/wk

University Of Michigan • Wyoming, MI

109d

About The Position

The Billing and Reimbursement Coordinator serves as a leader in the billing area, and manages accounts receivable. This person serves as the department's technical expert in his/her specialty area.

Requirements

• Minimum high school diploma or equivalent combination of education and experience.
• Associates degree in accounting or business administration highly desired.
• Previous work experience of at one to two years of health care setting is strongly preferred.
• Certified Revenue Cycle Representative a plus.
• Must possess the technical and professional skills required in medical or hospital billing, including insurance verification and benefit determination.
• Must have knowledge of medical terminology as it relates to billing and understanding of the reimbursement cycle.
• Must be proficient with computer functions, including ability to use automated systems for third party billing and insurance follow up.
• Ability to work efficiently and effectively under tight deadlines, with interruptions and high work volume.
• Must possess thorough knowledge of HIPAA requirements regarding all job functions.
• Ability to work independently with minimal supervision.
• Good oral and written communication skills.
• Ability to manage multiple requests and projects simultaneously.

Responsibilities

• Responsible for Accounts Receivable for areas assigned, maintaining standards as set by director.
• Develops and maintains a body of skills and knowledge on hospital billing and reimbursement. Disseminates and/or trains staff on information.
• Maintains knowledge of compliance regulation, standards and directives regarding governmental/regulatory agencies and/or third party payers.
• Responsible to maintain quality in billing and follow up for optimum performance in tracking and collecting reimbursement on accounts.
• Participates in interdepartmental projects including provider onboarding, practice and provider education, coding review and other special projects.
• Reviews claims daily, for accuracy and necessary attachments, utilizing electronic billing software.
• Identifies underpayments specific to contract language and working with contracting department.
• Maintains daily work queues according to payer requirements, including, late charges/credits, multiple visits in one day, 3-day rule, changes in insurance coverage, claim errors, payer denials and insurance follow up.
• Performs quality reviews and analysis to support internal controls and monitor employee performance.
• Provides staff training, coaching, support, issue identification, assessment, resolution and keeping the director apprised of the progress.
• Responsible for input in recruitment and corrective action decisions as well as performance evaluations.
• Responsible for oversight of daily operations within the assigned department.
• Meets quality and productivity standards established by management.
• May need to work additional hours (evenings/weekends) to achieve team goals.
• Provides coverage and support for other teams.

What This Job Offers

• Job Type: Full-time
• Industry: Educational Services
• Education Level: Associate degree