We are looking to add a skilled Billing Analyst to our team! The Billing Analyst will follow up on all outstanding claims, post payments received, process refunds, and analyze any issues with payers and report the issues to management in a timely manner. A successful candidate should be highly responsible and keep close attention to detail. We also expect you to be good in supervised teamwork and able to meet tight deadlines.

Medstar is Southeast Michigan’s largest and most integrated EMS and mobile health provider, serving more than 190,000 patients annually throughout Bay, Clinton, Eaton, Genesee, Ingham, Lapeer, Macomb, Oakland, and Wayne counties. Originally created in 1993 by two local hospitals committed to providing quality EMS for their communities, our stakeholder health systems have now grown to include Ascension-Michigan, Henry Ford Health System, and the McLaren Healthcare Corporation.

Essential Duties and Responsibilities

• Answer phone calls from patients and facilities and provide accurate information in regards to their inquiry.
• Converse with callers and team members in a clear, concise, and professional manner and tone.
• Keep callers a top priority and practice active listening and communication management skills.
• Promote caller satisfaction and use the support of leaders to effectively escalate calls when the caller is not understanding information, or is getting upset.
• Accept payment information over the phone or via mail and forward the payment posting department for proper credit on the patient’s account.
• Re-bill claims to insurances if you find errors or appealing a prior decision from an insurance company.
• Follow up on open claims in a timely manner.
• Resolve all open claims efficiently and within no more than 90 days.
• Timely post payments received from insurance companies, facilities, private pay, and other payments received.
• Post and correct insurance rejections in a timely manner.
• Process refunds by obtaining appropriate documentation, then determining the correct means of issuing the refund, either electronically or by creating a check request.
• Analyze and identify payer concerns and report the issues timely to management for resolution.
• Conduct complete follow through on submission of electronic billing and daily acknowledgment and verification of file acceptance or rejection. This will include follow up with EDI departments to determine any issues with the file and correct and refile claims if there are errors.
• Collect payment from assigned payers and also an assigned private pay schedule. Expectation that ongoing calls will be made to collect open balances.
• Conduct follow up on insurance appeals within 30 days of appeal.

Qualifications

• High School diploma
• Strong computer skills
• Data Entry skills
• Strong attention to detail
• Ability to decipher information from the CMS coding guidelines and apply the accurate information to patient information
• Strong grammar skills and/or the ability to check all work online
• Driven to accomplish assigned tasks
• Self-starter; requires minimal supervision
• Excellent communication skills (including verbal and written)
• Strong organizational abilities
• Normally assigned to work in an office environment, where there is minimal exposure to dust, dirt, noise, and the like. Must be able to sit for extended periods of time (90% of the work day). Occasionally stands to operate copy and fax machines.

Benefits and Opportunity

• Health, Dental, Vision Insurance
• 401k matching contributions
• Tuition reimbursement
• Wage rate adjustment options for experience and Veteran service