Basic Function and Responsibilities

Participate and provide expert knowledge in physician insurance billing for multiple clinical specialties and healthcare plans.  Participate in the implementation and maintenance of policies, programs and system enhancements to improve financial and operational performance of the unit.  Oversee and monitor workload in the units.  Ensure standard work and maintenance of Lean Thinking principles.

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.

• Provide leadership to the unit while maintaining responsibility for the unit workload, establishing priorities and redistributing work among team members as necessary.
• Understand and provide expertise in charge entry, charge corrections, and billing edits for physician billing across multiple clinical specialties.
• Respond to complex inquiries regarding insurance billing from staff and other customers of the unit.
• Communicate problems and barriers to the AR Manager and AR Director.
• Participate as an active member of Lean Thinking in daily work initiatives.
• Lead team discussion and huddles to create solutions to problems.
• Assist in the selection, training and evaluation of staff.
• Recommend updates to existing edits or new edits to reduce denials and edit overrides.
• Monitor clerical billing work queues to ensure accounts are worked timely by assigned staff members
• Review productivity reports for assigned staff to ensure compliance with both productivity targets and quality.
• Resolve operational problems, patient and employee complaints pertaining to reimbursement related issues.
• Assist with training of staff pertaining to assigned billing edits.
• Assure compliance with institutional goals, objectives, policies, standards and guidelines.
• Model, support and reinforce a culture of service excellence to patients and families, internal colleagues and external customers.

Bachelor?s degree in health or business administration or an equivalent combination of education and experience required. 
Minimum of three years of professional billing experience.
Demonstrates excellent verbal and written skills.
Strong interpersonal communication skills.
Demonstrated ability to supervise and lead staff.
Proficient use of computer software applications: Word, Excel, PowerPoint, TEAMS, ZOOM, etc.
Knowledge of CPT/ICD-10 coding conventions is necessary, coding certification desired.
Demonstrates ability to work in a team environment, and to build trust in the working relationships with other staff, various internal and external departments, and payers.
Demonstrates ability to learn and work independently.
Detail-oriented, organized, strong problem-solving skills, strong investigative skills, critical thinking skills and ability to be self-directed. 
Ability to develop education materials and provide training and development to new and existing billing staff.

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.

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.

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.

The University of Michigan is an equal employment opportunity employer.