Perform day-to-day billing and follow-up activities within the revenue operations for an assigned PBS location.
Serve as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts.
Provide training and guidance to lower level colleagues and provide problem resolution as needed.
Document claims billed, paid, settled, and follow-up in appropriate system(s).
Identify and escalate issues affecting accurate billing and follow-up activities.
Communicate with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information.
Perform all follow-up functions which include the investigation of overpayments, underpayments, credit balances and payment delays.
Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay.
Assist in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing.
Maintain a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct.

High school diploma or Associate's degree in Accounting or Business Administration or related field
Minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems
Experience in a complex, multi-site environment preferred
Hospital medical billing variance experience with commercial payors for New York highly desirable
Experience with Epic medical billing needed
Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
Completion of regulatory/mandatory certifications and skills validation competencies preferred.
Excellent verbal and written communication and organizational abilities.
Strong interpersonal skills necessary in dealing with internal and external customers.
Accuracy, attention to detail and time management skills.
Ability to work independently.
Ability to perform billing and follow-up activities promptly and accurately.

Billing and Follow-up Representative II – PFS, Hospital Medical Billing, Follow-up Variance

Key skills