Job Description

Responsibilities*
Use fact-finding combined with data analysis, case reviews, gap analyses, business process re-engineering, within the ACU, to come up with best practices, streamline work and close gaps.
Work with Outpatient Financial Clearance & Counseling to correct any billing concerns/denials process through the clinic.
Work with Centralized Prior Authorization department for services PAs
Work with Billing Department to have bills sent out and resolve any complex bills that need to be reviewed and rebilled.
Work with medical accounts receivable and billing
Partner with OB/GYN, CDS on coding analysis
Analyze and develop new protocols to assist with patient's financial needs
Communicate solutions, issues, and risks directly with management or other responsible entities to ensure a fully intergraded solution across ACU.
Resolve process and billing related issues as they arise
Review accounts for complex billing situations to see if discounts have been applied to non-covered benefits
Verify fertility coverage with multiple insurance companies
Work closely with University of Michigan Benefits Administration Office regarding complex Infertility related benefits
Tableau Dashboard-Professional and Hospital Billing (PB & HB)
Financial counsel support to patients for IVF & Urology through phone, portal, or in-person for hospital and professional fees once they receive the estimated fee sheets or billing statements
Inbasket management
Coding review requests, initiated by the patient or based on denials
Knowledge of medical terminology
Knowledge of ICD-10-CM and CPT (Current Procedural Terminology) codes/coding
Sharing Hope (Live Strong) Monitoring
Charge Reconciliation
Form mutually beneficial business partnerships with other MM departments, vendors, payers and peer organizations
Other task as assigned
Required Qualifications*
Associate degree or an equivalent combination of education and experience is necessary.
Excellent written and verbal communication skills, strong interpersonal skills, and excellent problem-solving skills.
Current practice must demonstrate flexibility, teamwork/collaboration skills, initiative, critical thinking, organizational skills, and willingness to learn.
Ability to analyze, compare, and evaluate various courses of action making independent decisions within the scope of duties and ability to exercise judgment in deferring escalating issues to the management team.
Demonstrated excellent customer service skills.
Strong organization skills and ability to complete multiple tasks within deadlines.
Must work independently with minimal supervision and as part of the team.
Experience in data entry and reporting.
Financial counseling experience for healthcare patients.
Familiarity with obtaining medical records or professional medical billing.
Prior experience performing complex scheduling.
Desired Qualifications*
Knowledge of the Michigan Medicine systems, policies, and procedures. Knowledge in patient scheduling, registration, and consult/order workflows.
Certified Professional Coder (CPC)
More than 3 years' experience in a medical office setting.
Knowledge of medical insurances as they pertain to a specialty department. Previous prior authorization experience.
Strongly prefer current or recent experience in a Michigan Medicine ambulatory care clinic setting and trained in Cadence, check-in and check-out within MiChart.
Familiar with MiChart work queues.
Comfortable using CISCO Finess phone system.