Billing Representative - Remote

  • Full-time
  • Shift: Day Shift
  • Status: Full Time

Company Description

More Than Just Care, It’s Community  

Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties.  

If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.

Invested in You  

  • Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. 

  • Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.  

  • Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. 

  • Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings  

Job Description

A Day in the Life 

  • Exercises a high degree of control over confidential medical information.  Able to establish priorities and meet deadlines with strong problem-solving ability.

  • Keeps current with changing billing requirements and shares pertinent information with billing team members.  Follows the daily priority matrix consistently on all assigned tasks.

  • Completes transmission process on electronic billing system for all current claims. Prepares and mails required hard copy claims to insurance companies, patients and/or other responsible parties. Unpaid claims followed up on every 30 days after the initial 45/60 day-processing period. Review and document procedures as appropriate. Review rejections to ensure compliance with third party payers and take concerns to management.

  • Produce credit reports quarterly as required by Medicare. Report all credit balances to the appropriate insurance payer and process according to the payer’s requirements within 30 days. Demonstrates understanding of Hospital reimbursement contracts. Determines if the payment received is in accordance with the third-party payors required reimbursement.

  • Processes coordination of benefits claims, complying with no-fault rules and regulations and all third party payers’ guidelines, in a timely manner. 

  • Analyzes and initiates corrective action for patient claims. This analysis includes: auditing charges, 72/24 hour requirements, payments and contractual agreements. Must be able to resolve payment questions with insurance companies. Verifies insurance benefits on problem accounts and assists patients resolve MSP/COB issues. 

  • Reviews records in Power Chart to confirm services as separate and distinct when multiple charges have been added to an account. Apply a working knowledge of 3M CCI edits. Uses Power Chart to collect and print records to send with all hard copy Auto Accident and Workers’ Comp claims.

  • May provide billing services for multiple facilities. Reports to financial class billing coordinator and should support team structure with emphasis on commitment to my co-worker. 

Qualifications

What’s Required  

  • High school diploma or GED is required. 

  • Two years of related work experience in customer service, healthcare or business field required.

  • Knowledge of third-party payer reimbursement required.

  • Associate degree preferred. 

Additional Information

Are you Munson Material? Apply today! 

Fully remote!

Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

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