Sr Billing ClerkPatient Account Representative Healthcare

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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.

Job Summary

Performs critical and complex billing and patient account functions requiring analysis, sound judgment, and an in-depth understanding of accounts receivable systems, billing procedures, payer requirements, and clinical documentation. Reviews patient records; enters, verifies, and reconciles charges; researches posting errors; resolves billing discrepancies; and ensures patient accounts are accurate, complete, and current.

Serves as a senior resource for complex billing, reconciliation, and account issues. Works closely with medical providers, clinical staff, and billing personnel to ensure services are appropriately documented and charged. Assists with staff training, workflow troubleshooting, system testing, job-aid development, and process improvement to support timely and accurate reimbursement.

Responsibilities*

• Charge Review and Posting

• Review patient records and supporting clinical documentation to identify, enter, verify, and post accurate charges in MiChart.

• Review and post charges associated with:

• Newborn screening reports

• Non-stress test (NST) reports

• Operating room procedures

• Triage services

• Delivery services

• Verify that charges are supported by documentation and assigned to the appropriate patient account, encounter, date of service, department, and provider.

• Identify missing, incomplete, duplicate, or inaccurate charges and take appropriate corrective action.

• Review unposted-charge reports and other work queues to ensure charges are entered accurately and promptly.

• Complex Billing and Account Resolution

• Perform complex billing and patient account work, including account review, charge entry, charge verification, reconciliation, and discrepancy resolution.

• Research and correct posting errors, account balance discrepancies, and incomplete or inaccurate billing information.

• Ensure patient account balances, charge details, and supporting documentation are accurate and current.

• Analyze complex account histories and billing records to determine the cause of unresolved balances, delayed claims, or reimbursement issues.

• Resolve difficult billing matters, including denied or delayed claims, insurance verification problems, and payer-specific billing requirements.

• Monitor assigned accounts and work queues through resolution to support timely, complete, and accurate reimbursement.

• Escalate unresolved issues when necessary and provide relevant documentation and analysis.

• Communication and Coordination

• Communicate with medical providers, clinical staff, billing personnel, and other departments to ensure services are properly documented and charged.

• Follow up on missing, incomplete, or conflicting information that may prevent accurate charge posting or claim processing.

• Explain billing requirements and account issues clearly to internal customers and other appropriate stakeholders.

• Maintain professional, timely, and service-oriented communication when resolving billing questions or discrepancies.

• Reconciliation and Reporting

• Reconcile charges, reports, work queues, and patient accounts to identify discrepancies and confirm billing completeness.

• Review system-generated and departmental reports to identify missing charges, posting errors, workflow issues, and trends requiring follow-up.

• Track outstanding billing issues and maintain clear documentation of research, corrections, communications, and resolution.

• Assist with account audits and provide billing documentation or reports as requested.

• Systems and Workflow Support

• Use MiChart and other applicable billing, accounts receivable, and reporting systems to complete assigned responsibilities.

• Troubleshoot billing workflow, system, and reporting issues, particularly when MiChart or other system updates affect charge entry or account processing.

• Assist in evaluating the billing impact of system changes, upgrades, and workflow modifications.

• Participate in user testing, issue identification, and validation of system changes when needed.

• Report system problems and collaborate with appropriate technical, operational, and billing teams to support resolution.

• Recommend workflow improvements that strengthen billing accuracy, efficiency, compliance, and reimbursement outcomes.

• Training and Team Support

• Assist in training and orienting new employees in billing processes, account reconciliation, charge posting, reports, work queues, and system use.

• Provide guidance to staff on established billing procedures and complex account issues.

• Develop, review, and update job aids, procedures, training materials, and workflow documentation.

• Share technical and operational knowledge with coworkers and promote consistent application of billing standards.

• Serve as a resource for questions related to billing processes, reconciliation, charge posting, account corrections, and payer requirements.

• Perform other related duties as assigned.

Required Qualifications*

• High school diploma or equivalent combination of education and experience.
• Progressively responsible experience in healthcare billing, patient accounts, accounts receivable, charge entry, or a related area.
• Demonstrated ability to perform complex account review, billing reconciliation, error correction, and problem resolution.
• Knowledge of healthcare billing practices, insurance requirements, claim processing, and accounts receivable procedures.
• Experience using electronic health record and billing systems, preferably MiChart or a comparable system.
• Ability to interpret patient account information, clinical documentation, billing reports, and payer requirements.
• Strong analytical, organizational, problem-solving, and follow-through skills.
• High level of accuracy and attention to detail.
• Effective written and verbal communication skills.
• Ability to work independently, prioritize competing assignments, and collaborate effectively with clinical and administrative teams.
• Ability to maintain confidentiality and appropriately handle protected health and patient account information.

Desired Qualifications*

• Experience with charge entry and reconciliation in an academic medical center or similarly complex healthcare environment.
• Experience reviewing and posting obstetric, newborn screening, non-stress test, operating room, triage, or delivery-related charges.
• Experience resolving denied or delayed claims, insurance verification issues, and payer-specific billing requirements.
• Experience training staff and developing job aids, procedures, or workflow documentation.
• Experience testing system changes and troubleshooting billing reports, work queues, or system-related workflow issues.
• Knowledge of applicable healthcare billing regulations, coding practices, compliance requirements, and institutional policies.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

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 any time after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.