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Your next career move matters. We invite you to explore open positions at UP Health System–Marquette, which is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® and creating places where employees want to work. Whether you’re an experienced professional or just beginning your career, you’ll find opportunities to use your skills and expertise. Looking for nursing career opportunities? Please visit here.

Billing Representative

Marquette, Michigan

Req ID 7467-9978 Post Date Nov. 26, 2024 CategoryProfessional - Non-Clinical FacilityUP Health System - Marquette
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UP Health System – Marquette

Billing Representative, Central Billing Office, 1.0DV


Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. UPHS – Marquette is a 222 bed hospital and houses the region’s only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). We also provide outreach with programs like annual health and safety fairs, health screenings for the entire family and more to keep our community healthy!
 
 
Where We Are:
In Marquette our fascinating history, rural landscape, abundant recreational opportunities, and welcoming people make the Upper Peninsula someplace special. From a thriving culinary scene to charming shops to historic lighthouses and museums, there is something for everyone in this beautiful lakeside gem.
 
 
Why Choose Us:
Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
Competitive Paid Time Off / Extended Illness Bank package for full-time employees
Employee Assistance Program – mental, physical, and financial wellness assistance
Tuition Reimbursement/Assistance for qualified applicants
Opportunities for education and training through partnership with Duke LifePoint Healthcare
And much more…
 
 
Position Summary:

Reconciles and posts all payments received, identifies discrepancies and analyzes issues to ensure payments are posted timely.

Reports to: Manager

FLSA:  Non-exempt 

 

ESSENTIAL FUNCTIONS:

Responsible for reviewing and maintaining charge description master (CDM), and/or other pertinent regulations and policies, ensuring all data elements are accurate and comply with all payor requirements.

Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum revenue.

Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize misbillings.

Resolves issues that arise from information submitted and revenue cycle issues.

Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.

Performs appointment scheduling, obtains prior authorizations and schedules hospital procedures/tests.


Minimum Qualifications:
Minimum Education
High school diploma or equivalent
*Years of relevant experience may be substituted for required education.

Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Required Skills
Must have thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic; HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System (OPPS), and Ambulatory Payment Classification (APC).

Minimum Work Experience
1 year clerical experience (Preferred)


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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