McLaren Health Care Patient Accounting Representative-BCBS in Shelby Township, Michigan

18-5028

Post Date

9/19/2018

Title

Patient Accounting Representative-BCBS

Job Family

Administrative/Clerical

Subsidiary

McLaren Health Care

Department

90150 - Patient Accounts

Location

Sterling Heights Region

City

Shelby Township

State

MI

Full Time

Yes

Hours per 2 week pay period

80.0

Schedule

Monday - Friday

Weekends and/or Holidays Required

No

On Call Required

No

Description

McLaren Health Care is one of Michigan's fastest growing health systems. With 15 hospitals, annual revenues of over $3 billion, and a service area that covers 75% of the state, McLaren is committed to the highest levels of patient care.

McLaren Health Care is looking for Patient Accounting Representatives

with Blue Cross Blue Shield billing experience to join the Corporate Revenue Cycle Team.

Work Location: The permanent work site will be at the located in

Shelby Township.

JOB SUMMARY:

Representatives will support the McLaren Health Care System subsidiaries and external customers and vendors as part of the Revenue Cycle Central Business Office.

BILLING: Responsible for billing hospital and physician claims, for inpatients and outpatients treated in the hospital and clinic, on behalf of the patient, within insurance time filing limits.

  • Interprets third party requirements and appropriately bills for facility and physician services within time filing requirements.

  • Performs necessary maintenance to patient accounts in the billing and claims editing systems.

  • Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.

  • Contacts insurance companies regarding unreleased and unprocessed bills.

  • As assigned, Patient Rep will be responsible for developing relationships and working with respective vendors in a timely and professional manner.

  • Works with other departments and insurance companies to resolve bill/claim edits.

  • Notify Analyst of edits that needs to be built and Denials Rep for denial trends.

FOLLOW UP: Responsible for follow-up with third party payors for inpatients and outpatients treated in the hospital and clinic necessary to obtain payment and/or a resolution of patient accounts within insurance time filing limits.

  • Performs necessary maintenance to patient accounts in the hospital and claims editing systems.

  • Responds timely to all patient and commercial inquiries either by phone or by written correspondence regarding patient accounts.

  • Contacts insurance companies regarding outstanding insurance bills.

  • Follows-up on Age Trial Balance Report monthly.

  • As assigned, Patient Rep will be responsible for developing relationships and working with respective vendors in a timely and professional manner.

  • Notify Analyst of edits that needs to be built and Denials Rep for denial trends.

Required:

• Associate Degree in Health Care, Finance or related area and/or Medical Biller. Equivalent combination of education and relevant experience may be accepted

• Proven skills in Microsoft Office, specifically Excel and Word, Window based applications; and 10 key calculator

Preferred:

  • Working knowledge of CPT, HCPCS, and ICD-10

  • One year experience in hospital financial or patient service

NOTE: To further our mission of enhancing the health status of the individuals and communities we serve, effective February 1, 2013,McLaren Health Care will no longer hire individuals who use tobacco or nicotine products in any form. Cotinine

testing will be used to verify non-tobacco use. Individuals whose health screening results are verified positive for tobacco/nicotine use will be disqualified from employment, their job offer will be rescinded, and they will be disqualified from reapplying

for employment for six (6) months from the date of the health screening.

  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

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