<p>Job Summary</p> <p>Our business office is looking for a highly motivated Patient Services Intermediate / Patient Account Representative to join our Canton Health Center team. This is not a traditional PSI role, it is deeply connected to the revenue cycle and plays a vital part in supporting accurate billing, collections, and overall financial success. This position offers the opportunity to make a real impact while working closely with both patients and staff.</p> <p>Mission Statement</p> <p>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.</p> <p>Why Join Michigan Medicine?</p> <p>Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.</p> <p>What Benefits can you Look Forward to?</p> <ul> <li>Excellent medical, dental and vision coverage effective on your very first day </li><li>2:1 Match on retirement savings </li></ul> <p>Responsibilities*</p> <ul> <li>Responsible for daily deposits and reconciliation of clinic cash collections and credit card transactions in accordance with established standards. </li><li>Ensure completeness of visit information, including type of visit, reason for service, charge for service, and diagnostic codes for processing professional and facility charges. </li><li>Analyze visit documentation and apply coding/billing guidelines to interpret accuracy in charge capture. </li><li>Review Charge Router Reconciliation Report and correct any outstanding errors. </li><li>Perform critical and complex Charge Reconciliation for all Canton Service Lines including requiring analysis, evaluation and an in-depth understanding of Canton billing practices. </li><li>Be responsible for immediate correction of missing or incorrect charges in MiChart based off review and interpretation of medical documentation. </li><li>Abstract information from medical documentation to identify complete charge capture of services. </li><li>Review and interpret clinical documentation to ensure appropriate code selection. </li><li>Accurately code procedures and diagnosing using ICD-10-CM, CPT, and HCPCS coding systems. </li><li>Collaborate with medical coder compliance specialist, providers and medical staff for clarification and to ensure completeness of coding information. </li><li>Verify diagnosis codes, apply modifiers, and charge codes in designated work queues within 72 hours, (e.g. point of service, zero charge, hospital charge dropped outside of effective date, etc.) </li><li>Utilize in-depth knowledge of complex procedural billing with multiple CPT codes and associated HC charges </li><li>Communicate to providers to close encounters timely to abide by university policies. </li><li>Educate providers and clinical support staff on new or incorrect billing opportunities. </li><li>Responsible for managing designated billing work queues, including reviewing, checking, and clearing edits to ensure timely and accurate claim processing. </li><li>Execute and/or facilitate charge corrections/entry and send notification to revenue cycle team to have claim(s) billed/rebilled as needed </li><li>Responsible for processing referrals and authorizations, including insurance verifications, in alignment with established insurance company guidelines. </li><li>Partner with Clinical Documentation Specialist, Revenue Quality Liaison and Contracting to help troubleshoot billing issues. </li><li>Serve as a subject matter expert and resource for providers, staff, patients, billing teams, and outside parties by answering ambulatory billing and coding questions, responding to billing inquiries, and assisting with insurance authorizations and managed care related issues. </li><li>Work in basket messages. </li><li>Send batch of receipts to Imaging. </li><li>Check for out-of-network patients. </li><li>Make sure that charges populate, and the correct DX is associated and corresponds to EKG verification. </li><li>Verify no-shows. </li><li>Check open/closed encounters and verify charges. </li><li>Track open encounters for delinquency. </li></ul> <p>Required Qualifications*</p> <ul> <li>High School Diploma or GED </li><li>Minimum 3 years of experience </li><li>2 or more years of charge capture experience necessary in a clinic/ACU setting. </li><li>Thorough knowledge of the revenue cycle, including a detailed understanding of professional and facility revenue, work queues, charge entry (professional and hospital), CPT codes, ICD10 codes, etc. </li><li>Prior experience with processing referrals and insurance authorizations. </li><li>Demonstrated attention to details. </li><li>Knowledge of basic medical terminology </li><li>Exceptional interpersonal skills and ability to work well within a team setting </li><li>Communicates effectively by demonstrating active listening, strong written and verbal communication, and proficient information technology skills. </li><li>Ability to multi-task in a fast paced, multi-disciplinary clinical setting. </li><li>Proficiency in use of computers and software, including Microsoft Office products. </li><li>Demonstrated ability to work independently, with proven proficiency in identifying problems, seeking appropriate solutions, and implementing them effectively. </li><li>Demonstrated excellent attendance </li><li>100% onsite; 40 hours Monday-Friday. 8:30 - 5 p.m. or 9:00 - 5:30 p.m. </li></ul> <p>Desired Qualifications*</p> <ul> <li>3-4 years with processing referrals and insurance authorizations. </li><li>Deep understanding of ICD-10, CPT, HCPCS codes. </li><li>Prior experience performing complex scheduling. </li><li>Complete understanding of coordination of benefits </li><li>Experience with University systems including MiChart/Epic. </li><li>Experience working within a large complex healthcare setting </li><li>Knowledge of UMHS policies and procedures </li></ul> <p>Work Schedule</p> <ul> <li>100% onsite </li><li>40 hours Monday-Friday </li><li>8:30 - 5 p.m. or 9:00 - 5:30 p.m. </li></ul> <p>Work Locations</p> <p>This position is located on-site at the Canton Health Center.</p> <p>Modes of Work</p> <p>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</p>