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Job Summary

This role requires a highly motivated and knowledgeable individual whose primary responsibilities include accurate claim submissions, active collections, resolving complex denials, appeals, insurance inquiries,  understanding of reimbursement methodology for both Hospital billing and Professional billing specifically for No-Fault Auto Accident accounts with ability to communicate and work with internal / external legal counsel and extensive knowledge and understanding of the Michigan No Fault Law MCL500.3157

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*Review and suggest changes as necessary to current policies and procedures as they relate to No Fault Auto carrier billing principlesPrimary duties include claim submission, error correction and insurance collections.Initiate and process claims and other forms within prescribed guidelines; screening for accuracy, completeness and conformity to required standard.  Investigate discrepancies; take appropriate corrective action when necessary, ensuring compliance.Work across teams to ensure resolution (i.e. registration, refund team, payment posting, etc.).   Apply payments to accounts from undistributed or correct payment posting issues. Investigate claim denials and reimbursement issues, pursuing appropriate corrective actions including status of accounts, write-offs, refunds, transfers, and billing third party carriers within established guidelines.Monitor, interpret and advise management regarding changes to Auto carrier reimbursement activities and trends. Contact appropriate Auto carrier and other third-party representatives for information and assistance with denied or incorrectly paid claims.Represent the unit with limited authority regarding general administrative and operational matters on an as need basis.Interact directly with internal Legal Analyst & Counsel with / without manager guidanceMeet/maintain department productivity measures.Required Qualifications*High school diploma or equivalent combination of education and experience. Ability to handle multiple tasks timely. Current 2 years' experience in Hospital and/or Professional accounts receivable collections. Considerable knowledge of 3rd party reimbursement policies and procedures.   Demonstrated ability to work in a team environment, build trust in working relationships with other staff. Demonstrated ability to work independently. Demonstrated attention to details. Demonstrated problem solving abilities are necessary. Produce high-quality work in a timely, accurate and efficient manner. Excellent verbal and written communication skills. Professional, positive, team-oriented attitude. Desired Qualifications*Knowledge of Michigan Medicine policies procedures and as well as regulatory requirements.  Experience with Michigan Medicine systems including MiChart (EPIC), Outlook, Epremis, CHAMPS, Availity, as well as other payer websites.  Hospital and / or Professional billing experience within the last 5 years.  Ability to identify, research and resolve complex billing follow up and payer issues. Prior experience with No Fault Auto Carrier claims billing.Awareness / Knowledge of Michigan No Fault Law MCL500.3157Work Locations

THIS IS A REMOTE POSITION.  The onsite location, when needed is in Ann Arbor, MI

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an equal employment opportunity employer.