Job Summary

University of Michigan Orthotics and Prosthetics Center

The University of Michigan Orthotics and Prosthetics Center is a large multi-disciplinary clinic dedicated to providing high quality orthotic, prosthetic, and pedorthic services for adults and children. The 30,000 square foot facility is located at 2850 S. Industrial Hwy, Ann Arbor, MI. The Orthotics and Prosthetics Center at Michigan Medicine is one of the few University based facilities in the country that offers comprehensive services and has been awarded the maximum three-year accreditation by the American Board for Certification in Orthotics, Prosthetics & Pedorthics.

What perks and benefits can you look forward to?

Excellent medical, dental and vision coverage
Generous PTO program
State of the art technology and equipment
Tremendous team support

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.

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

Responsibilities*

O&P Billing and Compliance Lead is responsible for overseeing the billing and compliance for braces (DMEPOS) for Orthotics & Prosthetics. This entails ensuring adherence to insurance regulations and the functions/tasks (as outlined below).

Responsibilities:

Provide training/education to the patient accounts/billing team and the providers/clinicians regarding billing/insurance rules/guidelines to ensure that the list of criteria for CMS LCDs are followed. Maintains current knowledge of changes in O&P national and local regulations/guidelines. Provides communication/education to staff regarding changes in policy and requirements to ensure proper documentation and regulatory compliance regarding O&P services. Provides assistance to all staff regarding compliance. Promotes compliance, best practices, and solutions. This requires continuous education and process monitoring for scheduling staff, front desk staff and the providers/clinical team.
Develop and manage the Billing & Compliance policy and procedure manual- Create resources and references for any policy/process changes.
Oversee external regulatory payer audits (including Medicare) to ensure compliance including tracking, fulfillment and writing/completing appeals.
Responsible for the daily functional supervision of the billing & Compliance team- Total of 9 FTEs, (Senior Patient Account/Billing Reps- 7 FTEs, Financial Counselor- 1 FTE, 1 Billing & Compliance Specialist- 1 FTE).
Manage work queues and perform monthly write-off analysis, including tracking and follow-up. Research denials, provide necessary information to ensure proper payment, and provide follow-up.

Required Qualifications*

Bachelor's degree in a recognized field which is directly related to the duties of the position
6+ years of billing/patient accounts experience- strong knowledge of billing/compliance requirements and practices of various insurance carriers.
Expertise in governmental/insurance regulations regarding O&P billing, documentation, and compliance.
Ability to effectively lead a team, promoting best practices and teamwork to achieve organizational goals.
Demonstrated skills/abilities regarding lean processes with proven outcomes.
Strong analytic and problem-solving skills.
Organized, highly motivated with a strong work ethic, demonstrated high level of responsibility and accountability.
Ability to set priorities and manage competing deadlines.
Strong and effective interpersonal (verbal and written) communication skills.
Proficient in Microsoft Excel, Word, and Outlook.

Desired Qualifications*

Four-year degree in Business Administration or related field.
Prior experience leading a team.
Familiarity with Epic and OPIE systems.

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.