Professional Billing Account Rep

As a Professional Billing Account Representative at MyMichigan Health, your key responsibilities include submitting new electronic and paper insurance claims, following up on outstanding balances, and communicating effectively with insurance companies. You will also be tasked with reviewing account balances for appropriateness, processing additional billings to maximize payments, and addressing relevant correspondence.

To qualify for the Professional Billing Account Representative position at MyMichigan Health, you should have at least a high school diploma or GED. Experience in medical billing and a solid understanding of medical terminology is preferred. Proficiency with Microsoft software will also enhance your application, as strong communication skills and a detail-oriented mindset are essential.

Effective communication is vital for a Professional Billing Account Representative at MyMichigan Health. You will regularly interact with insurance companies to resolve billing issues and discrepancies. Additionally, clear communication with other department staff will help facilitate the processing of claims and resolving any challenges that arise during billing.

In the role of a Professional Billing Account Representative at MyMichigan Health, you can expect a supportive work environment that may involve exposure to stressful situations, including direct public contact, trauma, and grief. Your primary tasks will be performed in a sedentary position; hence, it’s essential to be adaptable to long periods of sitting, standing, and occasionally lifting light loads.

While prior experience in a computerized medical setting is preferred for the Professional Billing Account Representative role at MyMichigan Health, it is not strictly required. However, having at least one year of experience in a medical office setting will make you a strong candidate, helping you become familiar with billing processes and medical terminology.

To ensure accuracy in insurance billing, I meticulously review each claim before submission. This includes verifying patient information, confirming insurance coverage, and understanding payer-specific requirements to reduce denials. I keep detailed records of all communications with insurers and document follow-up actions diligently.

In a previous position, I encountered a delay in payments for several claims due to a coding error. I promptly contacted the insurance carrier to clarify the needed corrections. After resubmitting the claims with accurate coding, I followed up regularly until the payments were processed. This proactive approach not only resolved the issue but also strengthened my relationship with the insurer.

I am well-versed in using various medical billing software tools like Epic and Medisoft, as well as Microsoft Office Suite for documenting and tracking claims. Familiarity with these tools has enabled me to streamline billing processes and improve overall efficiency.

In a stressful billing situation, I prioritize staying calm and organized. I break down the issues at hand, addressing one item at a time. I also make sure to communicate clearly with my colleagues and insurers to resolve conflicts effectively. This strategy helps prevent problems from escalating.

I find motivation in helping patients receive the care they deserve. Knowing that my role in billing ensures that healthcare providers are reimbursed allows me to contribute positively to the healthcare system. I am also driven by continuous learning in medical billing practices and improvements.

I stay informed about changes in medical billing regulations by subscribing to industry newsletters, attending webinars, and participating in relevant training sessions when available. Engaging directly with professional organizations also provides me with valuable insights and updates.

I have extensive experience in communicating with insurance companies to address discrepancies, verify claims, and negotiate resolutions. I approach these interactions professionally, ensuring that I maintain clear records of conversations and follow-up actions to keep everything organized.

To follow up on outstanding claims effectively, I implement a tracking system that flags pending claims based on their submission dates. I then schedule regular follow-ups via call or email, ensuring to keep a timeline of actions taken—this helps push claims towards resolution in a timely manner.

I prioritize my workload by assessing urgency and deadlines related to claims follow-ups. Daily task lists and time-blocking strategies help ensure that I manage my responsibilities effectively while remaining adaptable to any incoming issues that require immediate attention.

I believe the most important skill for a Professional Billing Account Representative is attention to detail. The ability to catch small inaccuracies in patient data or billing codes can significantly impact claim processing and timely reimbursements, ultimately affecting patient care.