Job Summary
We are seeking a Hospital Billing Manager to join our dedicated team of revenue cycle professionals for our Hospital Billing Team. The preferred candidate will have a working knowledge specifically with Home Infusion/DME billing or equivalent experience. They will also oversee a calling group for patients. This position, reports to the unit Director and is responsible to independently plan, manage, and coordinate Account Receivable Billing and Follow up activities for professional claims. We are in search of a highly motivated individual who can recommend, develop, and implement policies, programs, and system enhancements to improve the financial and operational performance of the unit. Monitor and assess daily workflow. Utilize Lean Thinking principles. Maintain strong relationships across Revenue Cycle Departments and Payer Representatives.
What Perks and Benefits Can You Look Forward to?
- 2:1 match on retirement savings
- Excellent medical, dental, and vision coverage starting on day one of employment
- Generous Paid Time Off (PTO) and paid holidays
- Flexible schedule with 100% remote work option
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*
Basic Functions and Responsibilities
- 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 facility accounts receivable.
- Respond to complex inquiries regarding insurance billing and follow-up from staff and other customers of the unit.
- Identify, resolve, and communicate problems and barriers to Director.
- Lead staff in Lean Thinking process for daily work initiatives.
- Engage staff /team members in identifying and creating solutions to problems.
- Select, train, educate/develop, evaluate, and discipline staff.
- Develop and implement strategies for improved staff performance, engagement, and overall unit outcomes.
- Act as a representative in departmental and institutional committees with authority to make decisions for the unit.
- Model, support and reinforce a culture of service excellence to patients and families, internal colleagues, and external customers.
- Work with billing unit staff and payer representatives to facilitate resolution of reimbursement issues.
- Coach and mentor supervisors and staff to achieve compliance with both productivity benchmarks and quality standards.
- Assure compliance with institutional goals, objectives, policies, standards, and guidelines.
- Demonstrate personal integrity, enthusiasm, and empathy to internal and external customers.
- Commit to team development, communication, and quality improvement throughout the Hospital Billing process.
- Demonstrate knowledge of UMHS and Michigan Medicine HIPAA privacy standards and ensure compliance with system PHI privacy practices by self and staff.
Required Qualifications*
- Bachelor's degree in Health Administration, Business Administration, or an equivalent combination of education and experience.
- Three or more years of progressively responsible administrative supervisory experience in a hospital or physician billing management setting necessary.
- Demonstrated expertise in cross-departmental and hospital billing policies, third-party payer processes, and regulatory and accreditation requirements.
- Knowledge of EPIC Billing system.
- Familiarity with Lean practices, quality improvement initiatives, and work planning procedures.
- Able to effectively manage team composed of direct and indirect reporting relationships.
- Able to communicate effectively with team members and management.
- Detail-oriented, good organizational skills, analytical, strong problem solving/investigative skills, and ability to be self-directed.
- Ability and willingness to exhibit behaviors consistent with standards of performance improvement and organizational values (e.g., efficiency & financial responsibility, safety, partnership & service, teamwork, compassion, integrity, and trust & respect).
- Able to understand and resolve complex payer issues.
Desired Qualifications*
- 5 years of progressively responsible administrative supervisory experience in a hospital or physician billing management.
- Knowledge of insurance contracts. Experience with payer reimbursement methodologies (Medicaid, Medicare and Commerical) preferred.
- Knowledge of Assurant, Availity and Waystar clearinghouses.
- Knowledge of University policies and procedures.
- Coding or other certification such as CPC, RHIT, or RHIA.
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.