SHS-BILLING CLERK

Sparrow Health System; Lansing (MI); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player is seeking a detail-oriented billing specialist to manage and resolve inpatient and outpatient accounts. This role involves ensuring accurate billing, verifying insurance information, and providing exceptional customer service. Ideal candidates will have a strong understanding of medical terminology, coding practices, and the ability to communicate effectively with patients and insurance providers. Join a dynamic team dedicated to maintaining compliance and confidentiality in a healthcare environment, where your contributions will directly impact patient care and organizational efficiency.

Qualifications

• Billing Certificate or High School Diploma with 1 year of medical billing experience required.
• Knowledge of medical terminology and coding is essential.

Responsibilities

• Perform billing duties for inpatient and outpatient accounts.
• Verify demographic and insurance information for accurate billing.
• Handle communications with patients and insurance companies.

Skills

Medical Terminology Knowledge

Communication Skills

Interpersonal Skills

ICD-10 Coding

CPT-4 Coding

Analytical Thinking

Customer Service Skills

Education

Billing Certificate

High School Diploma or GED

Associate Degree

Tools

UB04 Billing Form

Job description

Refer Save Apply

Job ID: 48441

Positions Location: Lansing, MI

Job Description

General Purpose of Job: Perform duties to bring about the proper billing of all inpatient and outpatient accounts. Follow up on all accounts until paid in full or until the account balance becomes private pay.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Provide insurance companies with copies of bills, via electronic or manual billing.
• Verify that the proper demographic and insurance information has been obtained to ensure that only accurate clean bills are forwarded to insurance companies and patients.
• Handle incoming and outgoing telephone calls to patients/families and insurance companies.
• Bill secondary insurance companies as required.
• Work accounts to resolution utilizing the appropriate tools, i.e. Workstation, aging reports, special project reports to secure payment from responsible payer.
• Work unpaid high dollar priority balances: a) send status to secure payment; b) call insurance companies to ask for unpaid balance; c) identify and take appropriate corrective action for insurance over and underpayments; d) bill patients for private pay balances.
• Process mail pertaining to accounts.
• Responsible for providing supervisor with weekly statistics of claims submitted.
• Responsible for understanding corporate compliance rules and regulations as it relates to billing.
• Maintain confidentiality regarding patient bills & records.
• Serves as a role model for consistent demonstration of Sparrow Health System’s Customer Service Behavioral Standards of Performance, by respecting the Privacy and Confidentiality of those we serve.
• Demonstrates knowledge and respects patient, service provider, and organizational confidentiality and HIPAA Security procedures and protocols as defined under the HIPAA Privacy and Security Procedures.
• Follows established HIPAA privacy procedures when using and/or disclosing protected health information.
• Maintains and protects patients’ rights under the HIPAA Privacy standards.

Job Requirements

General Requirements: None

Work Experience: See education

Education: Billing Certificate from an Accredited School/College; OR High School Diploma or GED and a minimum of 1 (one) year of medical billing experience in a health care environment

Specialized Knowledge and Skills:

• Demonstrated knowledge of medical terminology as would normally be obtained through successful completion of a medical terminology course.
• Demonstrated excellent communication and interpersonal skills.
• Demonstrated knowledge/understanding of ICD-10 and CPT-4 coding.
• Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job.
• Working knowledge of Uniform Billing Guidelines, NCCI/MUE/OCE/LCD editing and generalized insurance follow-up workflows.
• May be required to take test of billing knowledge prior to hiring.
• Must possess strong analytical thinking and customer service skills. Testing will be used to identify strongest candidates.
• Knowledge of UB04 Billing form - preferred

University of Michigan Health-Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Job Family

Administrative/Clerical

Requirements:

Shift Days

Degree Type / Education Level: Associate

Status: Full-time

Facility: Sparrow Hospital

Experience Level: Under 4 Years