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Role Description

This position performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. It serves as a member of the billing and follow-up team responsible for billing and follow-up of government and non-government accounts.

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location.
• Documents claims billed, paid, settled, and follow-up in appropriate system(s).
• Identifies and escalates issues affecting accurate billing and follow-up activities.
• Adheres to proactive practices including contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner.
• Communicates with appropriate hospital departments to clarify billing discrepancies and obtain demographic, clinical, financial, and insurance information.
• Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances, and payment delays.
• Researches claim rejections, makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues to ensure timely and accurate claim resolution.
• Proactively follows up on delayed payments by contacting patients and third-party payers.
• May prepare special reports as directed by the Supervisor Billing and Follow-Up.
• Assists in the training and education of Billing and Follow-up Representative I colleagues.
• Provides problem resolution to billing and follow-up issues as needed.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations.

Qualifications

• High school diploma or Associate's degree in Accounting or Business Administration or related field.
• A minimum of three (3) or more years of direct experience and relevant knowledge of revenue cycle functions and systems.
• Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
• Excellent verbal and written communication and organizational abilities.
• Strong interpersonal skills necessary in dealing with internal and external customers.
• Accuracy, attention to detail, and time management skills.
• Ability to work independently.
• Must be comfortable operating in a collaborative, shared leadership environment.

Requirements

• Experience in a complex, multi-site environment preferred.
• Completion of regulatory/mandatory certifications and skills validation competencies preferred.
• Ability to perform billing and follow-up activities in a prompt and accurate manner.
• Must possess a personal presence characterized by honesty, integrity, and caring.

Company Description

Our Commitment: Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer.