Patient Account Representative

MyMichigan Health•Midland, MI

About The Position

Responsible for timely billing of all payers and following up for payment. The role assists with processing monthly statements, rebilling or appealing claim rejections, and answering client billing questions. The representative adheres to Agency policies and procedures and to the rules and regulations of the applicable pay source. Candidates must have a primary address in Michigan or be willing to move to Michigan to be considered. The position also includes maintaining documentation and files, understanding payer billing provisions and agreements, developing and maintaining role-related policies and procedures, reconciling monthly cash, and attending educational seminars as requested. Employees must demonstrate competency in Microsoft Windows and may be required to participate in additional learning opportunities offered by MyMichigan Health. Other duties may be assigned.

Requirements

High school diploma or GED.
Two years of experience in a billing setting, including some insurance experience and problem-solving.
Experience with Microsoft Office applications and computers, including spreadsheets and/or databases.
Ability to communicate effectively verbally and in writing, and to speak, write, and understand English.
Ability to recognize people's needs and concerns and maintain constructive interpersonal relationships.
Ability to work independently and demonstrate problem-solving and organizational skills.
Ability to work under deadline pressure and adapt to changes in schedules and office routines.
Ability to handle multiple tasks, get along with others, work independently, maintain regular and predictable attendance, and stay awake.
Able to move freely about the facility, with or without an assistive device, and perform the job functions described.
Overall vision and hearing, with or without assistive devices.
Overall dexterity, including handling, reaching, grasping, fingering, and feeling; these movements may be repetitive.
Able to occasionally lift or carry 0–10 pounds.
Able to wear personal protective equipment, including latex materials or an appropriate substitute if required.
Must follow MyMichigan Health bloodborne pathogen and TB testing requirements.

Nice To Haves

Four years in a hospital setting with emphasis on insurance billing and computers.
Medical terminology classes.

Responsibilities

Process and audit automated and hard-copy billing statements.
Regularly work aged accounts to ensure payment.
Respond to client inquiries about insurance billing.
Analyze aged accounts receivable and unbilled revenue monthly.
Respond to claim rejections or nonpayment by rebilling.
Adhere to customer service standards.
Document and maintain files related to assigned activities.
Know and adhere to billing provisions of assigned payers.
Develop and maintain policies and procedures pertaining to the position.
Reconcile monthly cash.
Establish and maintain copies of agreements and contracts for assigned payer sources, and understand their provisions.
Attend educational seminars as requested.
Demonstrate competency in Microsoft Windows and participate in further learning opportunities if required.
Perform other duties as assigned.