Summary: Reviews bills for accuracy and submits to the appropriate third party payer or the patient. Bill secondary and tertiary bills when insurance coverage is present. Follow-up on unpaid accounts until final resolution.
Essential Job Functions:
- Participate, communicate, interact and assist patients, the public, employees (inter and intra departmental), supervisory, management and administrative personnel with a positive effect on all.
- Run daily “Auto-Gen” reports.
- Correct Electronic Billing System edit reports.
- Bill appropriate third party payer and/or patient.
- Review, analyze and re-bill open accounts.
- Document correspondence on Hospital Information System from third party payers and/or patients (follow-up).
- Notify Utilization Review of MPRO denials (follow-up).
- Bill secondary insurance after primary carrier payment and bill tertiary insurance after secondary insurance payments (follow-up).
- Communicate any system issues with the Systems Support Specialists, i.e. denials, underpayments, modifiers, etc. along with examples of the issues.
- Maintain a current status of unpaid large dollar accounts and high aged accounts and inform the Patient Accounts Manager of the status of the accounts Process insurance company refund checks in the Hospital Information System.
Minimum Skills, Experience and Educational Requirements
1. High school graduate with courses in business, computers, bookkeeping and accounting. Ability to read, write and speak English language effectively.
2. One-year experience in accounting and computer preferred.
3. Ability to operate office machines.
4. Experience with health insurance billing and payment procedures.
5. Hand eye coordination and finger dexterity.
6. Flexible and able to adapt to change readily.
7. Good communication skills to contact insurance carriers, initiate correspondence, understand medical and insurance terms.
8. Typing ability of 60 words per minute.
9. Ability to sit for extended periods of time, deal with frequent interruptions and stay on task.
10. Command of English language with good spelling, punctuation and grammar skills.
11. Pleasant speaking voice with the ability to communicate well with the public.
12. Able to work as part of a productive, energetic and enthusiastic team.
13. Must be precise, concise and focused on details.
Critical Demands of the Job
1. Must be able to sit approximately 70% of the day as required.
2. Must be able to type/keyboard at least 60% of the day as required.
3. Must be able to open file cabinet drawers using push/pull force.
4. Must be able to lift 40 lbs to a maximum 4 – 5 feet.
Working Conditions
1. Works in heated, lighted and ventilated areas.
2. Work area is very pleasant.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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What We Do
Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.
