Billing Representative - Hybrid

Straith Hospital; Southfield (MI); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Retirement plan

PSLF eligibility

Job summary

Straith Hospital in Southfield, MI is seeking a Billing Representative to support the Revenue Cycle with billing, coding and collections responsibilities. The role reports to the Revenue Cycle Manager and offers a remote work option.

The team collaborates with leadership to ensure accurate claim processing and timely payments. The ideal candidate has at least two years of billing experience and a formal credential as a Certified Coder, with experience in professional (1500) billing and UB-04

Qualifications

• Minimum two years billings experience.
• Certified Coder.
• Experience with professional (1500) billing and facility billing (UB-04) a plus.

Responsibilities

• Coding of all claims, including professional, anesthesia and facility;
• Working all error and hold claims, as designed by supervisor, while maintaining an acceptable level of claims within the designed bucket system;
• Identify and report trends related to error, hold and denial claims;
• Know and understand acceptable levels of reimbursement based on CPT code and insurance company;
• Have the ability to calculate self-pay rates;
• Work all collections accounts as necessary and per Hospital Policy;
• Initiate claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on probate and estate issues; following up with clerk of court;
• Set up and maintain patient payment plans;
• Know and understand Hospital's Financial Assistance Policy;
• Answer all patient or insurance inquiries pertaining to assigned accounts;
• Willingness to learn and understand additional revenue cycle tasks;
• Versatility within the work environment;

Skills

Billing experience

CPT/HCPCS coding

Collections

UB-04 familiarity

Education

Certified Coder

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Southfield, MI, US

4 days ago Requisition ID: 1018

Job Summary:

The Billing Representative will work within the Revenue Cycle department and ultimately have a role in all revenue cycle activities with the primary functions being billing, coding and collections. The Billing Representative will work directly with the Revenue Cycle Manager whom reports to the Controller and ultimately to the CEO. Remote work option available.

Qualifications:

• Minimum two years billings experience
• Certified Coder
• Experience with professional (1500) billing and facility billing (UB-04) a plus

Responsibilities:

• Coding of all claims, including professional, anesthesia and facility;
• Working all error and hold claims, as designed by supervisor, while maintaining an acceptable level of claims within the designed bucket system;
• Identify and report trends related to error, hold and denial claims;
• Know and understand acceptable levels of reimbursement based on CPT code and insurance company;
• Have the ability to calculate self-pay rates;
• Work all collections accounts as necessary and per Hospital Policy;
• Initiate claims against estates by monitoring deaths and unpaid accounts; informing legal department to act on probate and estate issues; following up with clerk of court;
• Set up and maintain patient payment plans;
• Know and understand Hospital's Financial Assistance Policy;
• Answer all patient or insurance inquiries pertaining to assigned accounts;
• Willingness to learn and understand additional revenue cycle tasks;
• Versatility within the work environment;

Why Straith?

• Supportive work culture focused on teamwork and clinical excellence.
• Comprehensive benefits including medical, dental, vision, and retirement plans.
• Non-Profit Hospital allows eligibility for Public Service Student Loan Forgiveness