Prematch is hiring a Billing and Follow-up Representative-I to perform essential revenue cycle functions for hospital medical billing. This remote role is part of a Patient Business Services team, reporting to the Supervisor Billing and Follow-up.
What You'll Do
- Perform daily billing and follow-up activities in support of the revenue cycle process.
- Document claims billed, paid, settled, and follow-up actions in appropriate system(s).
- Identify and escalate issues affecting accurate billing and follow-up activities.
- Adhere to proactive practices including contacting payers directly for payment and responding to mail correspondence.
- Communicate with hospital departments to clarify billing discrepancies and obtain demographic, clinical, financial, and insurance information.
- Perform all routine follow-up functions including investigation of overpayments, underpayments, credit balances, and payment delays.
- Research claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues.
- Proactively follow up on delayed payments by contacting patients and third-party payers.
- May prepare special reports as directed by the supervisor to document follow-up services.
- Maintain a working knowledge of applicable laws, regulations, and Trinity Health policies.
What We're Looking For
- High School diploma AND successful completion of Trinity Health Trainee program with achievement of related productivity/quality standards OR at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems.
- Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
- Excellent verbal and written communication and organizational abilities.
- Strong interpersonal skills.
- Accuracy, attention to detail, and time management skills.
- Ability to work independently.
- Ability to perform billing and follow-up activities promptly and accurately.
- Must be comfortable operating in a collaborative, shared leadership environment.
- Must possess a personal presence characterized by honesty, integrity, and caring.
Nice to Have
- Experience in a complex, multi-site environment.
- Completion of regulatory/mandatory certifications and skills validation competencies.
Technical Stack
- Microsoft Office (Outlook, Word, PowerPoint, Excel)
Team & Environment
Member of the billing and follow-up team at a PBS location, reporting to the Supervisor Billing and Follow-up.
Benefits & Compensation
- Compensation: $17.1538-$25.7307 per hour.
Work Mode
This position is fully remote.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
