Patient Business Associate

University Of Michigan; Ann Arbor (MI); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Excellent medical, dental and vision

2:1 retirement match

Job summary

The University of Michigan is seeking a full-time Patient Business Associate in the Pre-Service, Revenue Cycle Department to review insurance information and assess financial risk for inpatient admissions and short stays. The role requires ensuring accurate data and smooth processes for patient payments and insurance verification.

Responsibilities include communicating insurance requirements, educating patients on potential out-of-pocket costs, and coordinating with Precertification, Utilization

Qualifications

• High school diploma in combination with 2-3 years' of progressively complex registration, billing & third party payers experience or working with health insurance or in a healthcare setting is essential.
• Outstanding customer service, written and verbal communication skills are mandatory.
• Proficiency in the use of computers and basic software applications is necessary.

Responsibilities

• Acquire accurate and complete insurance information for first-time quality and patient financial experience.
• Verify insurance eligibility and document requirements for preadmissions and admissions.
• Educate patients on out-of-pocket liability prior to service and collect pre-payments.
• Inform patients of insurance requirements and timeframes for newborn deliveries.
• Update patient demographics and insurance information as needed.
• Communicate insurance coverage changes to Precertification, Utilization Review/Care Management and Social Work teams.
• Refer patients with insurance concerns to the Patient Financial Counselor or alternate funding sources.

Skills

Customer service

Communication skills

Multitasking

Computer proficiency

Education

High school diploma

Associate's Degree (desirable)

Tools

EPIC system

Job description

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Job Summary

The Pre-Service, Revenue Cycle Department is looking for a full-time Patient Business Associate to provide timely and thorough insurance and financial risk assessment review of inpatient hospital admissions and short stays.

Responsibilities*

Take necessary steps to acquire accurate and complete insurance information to ensure first time quality and improve the patient financial experience at Michigan Medicine

Evaluate all patient payment sources, verify insurance eligibility, collect insurance benefit information and document insurance referral and authorization requirements for all hospital preadmissions, admissions and short stays

Contact and educate patients on out-of-pocket liability prior to service and collect and post pre-payments when appropriate

Communicate and inform patients of the insurance requirements and timeframes for newborn deliveries

Verify and update patient demographic and insurance information as needed

Identify and promptly communicate changes in a patients? insurance coverage to Precertification, Utilization Review/Care Management and Social Work teams

Refer patients with insurance concerns requiring immediate attention to the Patient Financial Counselor or alternate funding sources as needed based on financial assessment

Clearly and thoroughly document all actions, contacts, outcomes and interventions

Respond to insurance related questions from Michigan Medicine customers with promptness and thoroughness

Review, investigate and resolve inpatient hospital accounts being held due to insurance related issues post discharge and prior to claim submission

Attend and participate in operational meetings, utilizing LEAN thinking and principles.Develop standard processes and incorporate efficiencies into daily workflow

Assist and contribute to the overall achievement of the Michigan Medicine and Patient Business Services quality, operational and financial goals and objectives

Required Qualifications*

High school diploma in combination with 2-3 years' of progressively complex registration, billing & third party payers experience or working with health insurance or in a healthcare setting is essential.Outstanding customer service, written and verbal communication skills are mandatory.Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate and efficient manner is required.Proficiency in the use of computers and basic software applications is necessary.Ability to be flexible and work within a team-focused, participative management framework is required.

Desired Qualifications*

An Associate's Degree in a business or healthcare field is desired.Understanding and ability to interpret and communicate insurance benefit information is recommended.Familiarity with CPT codes and payer fee schedules is desired.Knowledge of No Fault Auto, Michigan Assigned Claims, Veteran's Affairs, third party and government payer rules and regulations is preferred.Experience working in the EPIC system is desired.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .

Work Schedule

Hours:Monday through Friday and occasional weekends

Work Locations

This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained . High speed internet is a requirement for this position and the cost is the responsibility of the staff member.There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary.Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours.Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer.Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology.Office equipment such as desk, chair, and printer are not provided.Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose.Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.

Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams.Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.

Union Affiliation

This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process maybegin as early as the eighth day after posting.Thisopening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.