Patient Account Representative

Summary

This position is responsible for billing and follow up of insurance accounts. It includes verification of benefits and communication with the insurance companies. It requires a broad knowledge of the hospital charge posting system and working with the hospital departments to verify charges, captures lost charges, and to review the general appropriateness of account balances.

Responsibilities

• (25%)*
• Verify inpatient and outpatient accounts for insurance eligibility
• (25%)*
• Follow up on outstanding accounts receivable
• (25%)*
• Review claims for correct codes, appropriate charges and general accuracy
• (25%)*
• Post payments and adjustments according to payer requirements
• OTHER DUTIES AND RESPONSIBILITIES: Resolve credit balances.
• Rebilling accounts for secondary insurance billing.
• Miscellaneous duties as assigned.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows.
• An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
• Certifications and Licensures
• N/A Required Education
• High school diploma or GED is required
• Four years in hospital setting with emphasis on insurance billing and computers is preferred. Additional courses in medical terminology and experience with Excel and Word are preferred.
• Other Information
• EXPERIENCE, TRAINING AND SKILLS: Typing skills of 50 WPM is required.
• 10-key experience and efficiency required.
• Ability to work well under pressure is required.
• Windows PC and Internet experience is required.
• Ability to work well in a team environment - cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.
• Two years in billing setting with some insurance experience and problem solving is required.
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material.  Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling.  May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Responsibilities

• (25%)*
• Verify inpatient and outpatient accounts for insurance eligibility
• (25%)*
• Follow up on outstanding accounts receivable
• (25%)*
• Review claims for correct codes, appropriate charges and general accuracy
• (25%)*
• Post payments and adjustments according to payer requirements
• OTHER DUTIES AND RESPONSIBILITIES: Resolve credit balances.
• Rebilling accounts for secondary insurance billing.
• Miscellaneous duties as assigned.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows.
• An employee may be required to participate in further learning opportunities offered by MyMichigan Health.

Qualifications

• EXPERIENCE, TRAINING AND SKILLS: Typing skills of 50 WPM is required.
• 10-key experience and efficiency required.
• Ability to work well under pressure is required.
• Windows PC and Internet experience is required.
• Ability to work well in a team environment - cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.
• Two years in billing setting with some insurance experience and problem solving is required.
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material.  Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling.  May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.