Billing Representative- Family Medicine- Full Time

Henry Ford Health System; Southfield (MI); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a detail-oriented Billing Specialist to join their Family Medicine department. In this pivotal role, you will ensure accurate insurance verification, manage patient communications regarding financial responsibilities, and maintain meticulous billing records. Your expertise will help streamline the billing process and enhance patient satisfaction. If you are passionate about healthcare administration and have a knack for problem-solving, this opportunity offers a chance to make a significant impact in a supportive environment. Join a team dedicated to providing exceptional care and service.

Qualifications

• High School diploma or 1 year of job-specific experience required.
• Professional licensure can substitute for education or experience.

Responsibilities

• Confirms insurance coverage and obtains pre-authorization for procedures.
• Maintains documentation of billing activities and claims processed.
• Researches Medicare/Medicaid billing and resolves unbilled claims.

Skills

Insurance Verification

Billing Practices

Financial Responsibility Communication

Claims Reconciliation

Education

High School Diploma or Equivalent

1 Year of Relevant Experience

Job description

GENERAL SUMMARY

• Department: Family Medicine


• Schedule: Full-time Days: Monday - Friday


• Location: Southfield, MI

Determines and verifies insurance coverage and coordination of benefits from all sources for assigned area. Ensures proper adequate and timely billing to ensure prompt payment.

Responsibilities:

• Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.


• Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.


• Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.


• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.


• Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self-payers.


• Researches, analyzes and reconciles Medicare/Medicaid billing and reimbursement practices.


• Maintains detailed documentation in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process.


• Consults with appropriate parties to resolve unbilled claims. Reviews recent accounts for proper billing practices and reimbursement.

EDUCATION/EXPERIENCE REQUIRED *

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. - Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable

Additional Information

• Organization: Henry Ford Ascension Medical Group MI


• Department: FM Deighton


• Shift: Day Job


• Union Code: Not Applicable