Billing & Follow-up Representative II – Hospital Medical Billing Follow-up, Commercial Payors
Trinity Health
full-time
Posted on:
Location Type: Remote
Location: Ohio • United States
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Salary
💰 $19 - $29 per hour
About the role
- 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
- 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, including 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
Requirements
- 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 working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting
- Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingfollow-uprevenue cycle functionsclaim resolutionproblem resolutioninvestigation of overpaymentsunderpaymentscredit balancespayment delaysdocumentation
Soft Skills
communicationorganizational abilitiesinterpersonal skillsattention to detailtime managementindependencecollaborationleadershiptrainingguidance
Certifications
High school diplomaAssociate's degree in AccountingAssociate's degree in Business Administration