[Hiring] Billing and Follow Up Representative II @Trinity Health

Role Description

Work Remote Position (Pay Range: $19.5965-$29.3948)

Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level colleagues and provides problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up.

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location.
• Documents claims billed, paid, settled, and follow-up in appropriate system(s).
• Identifies and escalates issues affecting accurate billing and follow-up activities.
• Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner.
• Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information.
• Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays.
• Researches claim rejections, makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues to ensure timely and accurate claim resolution.
• Proactively follows up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required.
• May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services.
• Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing.
• Provides problem resolution to billing and follow-up issues as needed.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct.

Qualifications

• High school diploma or Associate's degree in Accounting or Business Administration or related field.
• Minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems.
• Experience in a complex, multi-site environment preferred.
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
• Completion of regulatory/mandatory certifications and skills validation competencies preferred.
• Excellent verbal and written communication and organizational abilities.
• Strong interpersonal skills are necessary in dealing with internal and external customers.
• Accuracy, attention to detail, and time management skills.
• Ability to work independently.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence characterized by honesty, integrity, and caring.

Requirements

• Ability to perform billing and follow-up activities in a prompt and accurate manner to reduce potential financial loss to the patient and the Ministry Organization.

Company Description

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.