Patient Account Specialist - WMU Homer Stryker, M.D. School of Medicine

Overview

Western Michigan University M.D. Homer Stryker School of Medicine (WMed) is currently seeking a Patient Account Specialist to join our Patient Billing team. Responsible for performing and/or coordinating all activities associated with accounts receivable.

Position offers the flexibility of a hybrid remote/on-site schedule.

Responsibilities

• Performs a variety of duties involved in collecting balances due and recording payments to accounts.
• Efficiently handles denied claims and actively works aged accounts in a timely manner.
• Follows up with insurance companies on claim denials to seek a resolution.
• Researches issues with third party vendors.
• Resubmits claims to insurance companies upon proper interpretation of payer explanation of benefits and claim adjustment reason codes.
• Logs, posts, and balances payments in accordance with established procedures.
• Answers inquiries from patients regarding account statements, charges, insurance payments and balances due.
• Follows up on delinquent accounts and sets up payment arrangements with patients, as necessary.
• Submits claims to insurance companies. Prints and mails secondary/tertiary claims.
• Prepares and transmits electronic claims submissions when applicable.
• Reviews claims for errors and make corrections where required.
• Works with insurance companies to perform insurance billing, review, and verification of accounts in accordance with program provisions.
• Verifies patient insurance and third-party coverage information.
• Works insurance credit balances and request refunds as necessary.
• Provides quality customer service while adhering to HIPAA confidentiality standards.
• Availability to work occasional overtime on weekends or evenings to complete time sensitive projects.
• Acquires knowledge for new technology and policy/procedure revisions.
• All other duties as assigned.

Qualifications

EDUCATION AND/OR EXPERIENCE: 

• High school diploma or equivalent required.
• Minimum one-year medical billing and accounts receivable experience required.
• Basic excel skills preferred.

OTHER SKILLS AND ABILITIES: 

• Knowledge and proficiency of EHR/Medical billing systems. Epic experience preferred.
• Knowledge of eligibility verification using CHAMPS, Medicare and Blue Cross websites.
• Knowledge and proficiency of medical terminology.
• Knowledge and proficiency of CPT and ICD-10 coding.
• Ability to operate standard office equipment such as multi-line phone system, copier and fax machines.
• Ability to interpret, comprehend, and transmit complicated and detailed instructions accurately.
• Ability to effectively communicate with others verbally and in writing.
• Ability to meet assigned deadlines.
• Demonstrates the ability to recognize priorities in organization of work flow.
• Able to perform duties independently, with a minimal need for direct supervision.

About Western Michigan University Homer Stryker M.D. School of Medicine (WMed)

We are committed to excellence and health equity through transformative medical education, high-quality, patient- and family-entered care, innovative research, and community partnerships within a just culture of diversity, equity, inclusion, and belonging. Our vision is health equity for all in Southwest Michigan through innovation in the practice and study of medicine.

The medical school is a collaboration of Western Michigan University and Kalamazoo's two teaching health systems, Ascension Borgess and Bronson Healthcare. The medical school is a private nonprofit corporation supported by private gifts, clinical revenues, research activities, tuition, and endowment income. Building upon a $100 million foundational gift in 2011, WMed is a recipient of the Empowering Futures Gift, a philanthropic commitment of $300 million to support the mission of the medical school. WMed contributes to the economic vitality of Southwest Michigan through the services we provide as well as the creation of 1,600 new jobs and an annual estimated economic impact of $353 million in Kalamazoo and Calhoun counties.

WMed is fully accredited by the Liaison Committee on Medical Education and the Higher Learning Commission. The medical school offers a comprehensive, innovative four-year Doctor of Medicine degree program and two Master of Science degree programs in Biomedical Sciences and Medical Engineering. We train physicians in 10 residencies and five fellowships accredited by the Accreditation Council for Graduate Medical Education. To support our educational mission, we have Joint Accreditation for interprofessional continuing education, which incorporates accreditation by the Accreditation Council for Continuing Medical Education.

WMed Health is the clinical practice of the medical school with more than 300 providers offering comprehensive primary care and specialty services in several locations throughout Kalamazoo, Portage, and Battle Creek. The Department of Pathology faculty serve as the Office of the Medical Examiner for counties throughout Michigan and northern Indiana.

The W.E. Upjohn M.D. Campus located in downtown Kalamazoo serves as the primary educational facility with faculty and administrative offices, student study and social spaces, team-based learning halls, a state-of-the-art Simulation Center accredited by the Society for Simulation in Healthcare, basic science research labs, as well as toxicology and forensic pathology labs.

WMed is building upon Kalamazoo’s century-long foundation of drug discovery and medical device development with a strategic investment in clinical, laboratory, community, and educational research. The Center for Immunobiology, Center for Clinical Research, Research Histology Lab, Innovation Center, and Human Research Protection Program contribute to the medical school’s advancement of knowledge through innovation and discovery. 

Western Michigan University Homer Stryker M.D. School of Medicine is an Equal Employment Opportunity/Affirmative Action employer of females, minorities, individuals with disabilities, and protected veterans, and actively strives to increase diversity within its community. We provide a drug- and tobacco-free workplace. 

EEO Minorities/Women/Disabled/Protected Veterans.