Senior Patient Accts & Billing Representative

Senior Patient Accts & Billing Representative

University of Michigan Orthotics and Prosthetics Center

The University of Michigan Orthotics and Prosthetics Center is a large multi-disciplinary clinic dedicated to providing high quality orthotic, prosthetic, and pedorthic services for adults and children. The 30,000 square foot facility is located on Industrial Hwy, Ann Arbor, MI. The Orthotics and Prosthetics Center at Michigan Medicine is one of the few Universities based facilities in the country that offers comprehensive services and has been awarded the maximum three-year accreditation by the American Board for Certification in Orthotics, Prosthetics & Pedorthics.

This individual will play an important role in researching insurance eligibility, authorization and billing requirements. In addition, this individual will support the patient financial liability process, while providing the highest quality customer service. We are seeking a compassionate, enthusiastic, and patient-oriented individual who will share in the goal of creating the ideal experience for our patients, families and employees.

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.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Job Duties

• Perform critical and complex billing functions that require analysis, evaluation, and a thorough understanding of the accounts receivable system. Daily tasks include prescription review, pending orders, benefits, and eligibility analysis, updating WIP icons, communicating with clinicians, and reviewing modifiers and patient signatures.
• Obtain authorizations as required by various carriers via telephone, fax, and online systems to ensure efficient patient turnaround time.
• Review charges for accuracy and compliance in secondary system (OPIE) prior to billing (includes referral shells, detailed orders and modifiers) and submit charges via the MiChart interface and ensure charge reconciliation.
• Review and resolve insurance issues to mitigate claim denials.
• Provide support to clinicians in researching and explaining insurance/billing information to patients.
• Provide quality customer service - directly answer/respond to patient financial insurance questions.
• Provide patient counseling regarding estimated out of pocket financial liability (coinsurance, deductibles, etc.) and coordinate/collect patient payments.
• Collaborate with Revenue Cycle staff to ensure charges are billed correctly and that the correct authorizations are obtained for specific HCPCS codes.
• Complete monthly WIP review meetings with assigned clinicians to ensure all active patients are processed timely to reduce delays.
• Establish and maintain regular communication with patients, physicians, O&P clinicians, and payors to support efficient billing, authorizations, and overall patient care.

• 3-5 years of billing/insurance experience - extensive knowledge of billing requirements and practices of various insurance carriers including but not limited to: auto, worker's compensation, private health, and others such as Tricare, Medicare and Medicaid.
• Expertise in utilizing payer portals/websites (eligibility and benefits).
• Excellent written, verbal and face-to-face communication skills, including ability to effectively explain relevant insurance information to patients, as well as communicate with insurance plans and internal customers. Proper phone etiquette.
• Ability to work independently and collaboratively in a team-oriented environment; professional and friendly demeanor.
• Good organizational and time management skills to effectively juggle multiple priorities and time constraints.
• Ability to exercise sound judgement and problem-solving skills.
• Proficient in Microsoft Excel, Word, and Outlook.
• Ability to handle patient and organizational information in a confidential manner.

• Four-year degree in Business Administration or related field.
• Knowledge of medical terminology, preferably in the field of Physical Medicine & Rehabilitation and DME/Orthotics and Prosthetics.
• Familiarity with Epic and OPIE systems.

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,…