Job Summary
We are seeking an individual highly skilled in Professional and/or Facility accounts receivable billing follow-up activities to join our team dedicated to credit balance resolution. This position resolves insurance credit balances for Commercial Insurance Payers. Responsible for in-depth account review, resolving complex inquiries from third-party payers, ensuring optimal reimbursement, and problem resolution.
Mission Statement
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
Who We Are
Why Join the Revenue Cycle Department, Consolidated Billing Unit Credit Resolution Team?
If you are a highly motivated individual, like to be part of a goal-oriented team, desire to be part of a unit that is interested in what you bring to the table, like to see your well-thought-out ideas considered and utilized, like to experience a team built on high collaboration, like to be able to use all your billing knowledge to position the revenue cycle to be the best it can be, and part of a team that gets things done, this IS the team for you to demonstrate your superior skills and knowledge.
What Perks and Benefits Can You Look Forward to?
- 2:1 match on retirement savings
- Excellent medical, dental, and vision coverage starting on day one of employment.
- Generous Paid Time Off (PTO) and paid holidays
- Work Remotely
- Flexible schedule
Responsibilities*
- Respond to all levels of financial inquiries from payers, Revenue Cycle Leadership/Management regarding takebacks, refunds, etc.
- Ensure integrity of refund, escheat, and billing process
- Ability to effectively interact, and communicate, directly with the Payment Posting department, Rev Cycle Leadership, Insurance Carriers, etc.
- Analyze account/invoice credit balances and resolve via refunds, escheat, adjustments, etc., (minor ? complex) independently.
- Recommend and implement corrective action for insufficient payment, takebacks, or inappropriate rejections.
- Analyze nonpayment situations, takebacks, refund requests, and recommend procedure changes that may resolve such negative trends.
- Maintain department productivity measures.
Required Qualifications*
- High school diploma or equivalent combination of education and experience.
- Ability to handle multiple tasks timely.
- Current experience in Professional or Hospital / Facility accounts receivable collections and credit balance resolution.
- Considerable knowledge of 3rd party reimbursement policies and procedures.
- Familiarity with using 3rd party payer websites (i.e.: Champs, Availity, etc.)
- Demonstrated ability to identify, and research complex credits.
- Demonstrated ability to work in a team environment and build trust in working relationships with other staff.
- Demonstrated ability to work independently.
- Demonstrated attention to details.
- Demonstrated problem-solving abilities are necessary.
- Produce high-quality work in a timely, accurate, and efficient manner.
- Excellent verbal and written communication skills.
- Professional, team-oriented, positive attitude.
Desired Qualifications*
- Knowledge of Michigan Medicine policies, procedures, and as well as regulatory requirements.
- Experience with Michigan Medicine systems including MiChart (EPIC), Outlook, Epremis,
- Professional or Hospital / Facility billing experience within the last 2-3 years.
Work Locations
THIS IS A REMOTE POSITION. The onsite location, when needed, is Revenue Cycle, KMS building, 3621 S. State Street, Ann Arbor, MI. 48108
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.
