How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Job Summary

The Pre-Service Revenue Cycle Department, Outpatient Financial Clearance unit is looking for full-time Patient Business Associate. The staff in this role are responsible for providing financial clearance and estimated out of pocket patient liability and pre-collection for outpatient and inpatient services prior to services being rendered.

Mission Statement

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.

Responsibilities*

Appropriately identify the patient's insurance coverage and benefit level in order to determine out of pocket expenses
Communicate with patients their out of pocket liability in order to accept and collect payment prior to services being rendered
Ensure compliance with No Surprise's Act; appropriately identify uninsured and out of network patients and contact them with timely and accurate estimates
Verify and update patient demographic and insurance information as needed
Contact appropriate third party representatives for information and assistance with determining benefit level when online resources are not available
Provide self-pay estimates and collect pre-payment on International patient populations seeking care at Michigan Medicine
Advise patients of alternative payment options when appropriate
Advise clinic staff of patient out of pocket cost for front end collection efforts
Respond to complex estimated expense inquiries from patients, discuss financial assistance options, and work with third party carrier representatives to clarify benefit level determination
Investigate discrepancies; inform and collaborate with management to take appropriate corrective action when necessary
Monitor, interpret and advise management regarding changes to third party payer system discrepancies, activities and trends
Represent the unit with limited authority regarding general administrative and operational matters on an as need basis
Assist in training new employees
Attend applicable training initiatives which include but are not limited to registration sessions, third party seminars, and in-house training
Assist in development of unit policies and procedures
Incorporate and practice Lean principles into daily work
Function as a collaborative and contributing team member
Demonstrate outstanding customer service skills

Required Qualifications*

High school diploma or equivalent combination of education and experience.
2-3 years of progressively complex registration, billing & third party payer experience, working with health insurance or in a clinic setting is required.
Proficiency in use of computers and software, including Microsoft Office products.
Demonstrated excellent verbal and written interpersonal skills. Demonstrated ability to handle multiple items simultaneously and produce high-quality work in a timely, accurate and efficient manner.
Demonstrated outstanding customer service skills.
Ability to function as a collaborative and contributing team member.
Demonstrated ability work in a team environment, build trust in the working relationships with other staff and faculty.
Demonstrated ability to work independently.

Desired Qualifications*

An Associate's degree in a business or healthcare related field.
Understanding and ability to interpret and communicate insurance benefit information is recommended.
Familiarity with CPT codes and payer fee schedules is desired.
Knowledge of No Fault Auto, Michigan Assigned Claims, Veteran?s Affairs, third party and government payer rules and regulations is preferred.
Call Center or direct patient contact experience preferred.
Experience working in the EPIC system is desired.

Work Locations

This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need or be required to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.

Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.

Modes of Work

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.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.