Patient Business Associate

Michigan Medicine; Ann Arbor (MI); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Excellent medical, dental and vision

2:1 retirement match

Job summary

Michigan Medicine in Ann Arbor is seeking a full-time Patient Business Associate for the Pre-Service, Revenue Cycle Department to review insurance and financial risk for inpatient admissions and short stays.

You will verify eligibility, collect benefit information, educate patients on out-of-pocket costs, and document all actions to support first-pass reimbursement. Remote/hybrid work options available after training.

Qualifications

• 2-3 years' registration, billing & third party payer experience in a healthcare setting.
• Outstanding customer service with strong written and verbal communication.
• Ability to prioritize and manage multiple tasks with accuracy.
• Proficiency in computers and basic software applications.
• Team-focused, able to work within a participative management framework.

Responsibilities

• Acquire accurate insurance information to ensure first time quality.
• Verify eligibility, collect benefit information, and document requirements.
• Educate patients on out-of-pocket liability prior to service.
• Update patient demographics and insurance data as needed.
• Communicate insurance requirements to newborn delivery patients.
• Refer complex cases to Patient Financial Counselor or funding sources.
• Document all actions, contacts, outcomes and interventions clearly.
• Respond to insurance questions from Michigan Medicine customers promptly.
• Review inpatient accounts held due to insurance issues post-discharge.
• Participate in LEAN meetings and develop standard workflows.

Skills

Customer service

Verbal communication

Written communication

Time management

Education

Associate degree in business or healthcare

Tools

EPIC system

CPT codes

Job description

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 30,000 employees 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.

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.

Background Screening

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 may begin as early as the eighth day after posting. This opening 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.