Billing Follow Up Representative I Hospital Billing Follow Up

Billing & Follow-up Representative-I (Hospital Billing & Follow-up) at Trinity Health — Research Report

Introduction

Landing the Billing & Follow-up Representative-I role at Trinity Health means diving into the backbone of hospital revenue cycle management. This remote position in Farmington Hills, MI, handles critical billing tasks that keep one of America's largest health systems running smoothly. With no specified deadline, it's an open door for motivated candidates ready to build a stable career in healthcare administration.

Why chase this? It's entry-level with real impact—think securing payments that fund patient care. Professionals in these roles often see quick promotions, especially in a field where demand for billing experts outpaces supply. If you're eyeing long-term stability in healthcare, this Trinity Health opportunity delivers hands-on experience that pays off fast.

Overview of Trinity Health

Trinity Health operates as a national Catholic health system, serving 92 hospitals and 120 continuing care locations across 25 states. It ranks among the top 10 U.S. health systems by revenue, generating over $20 billion annually. Competitors like CommonSpirit Health and Ascension vie for similar ground, but Trinity stands out with its faith-based mission emphasizing compassionate, community-focused care.

Key services span acute care hospitals, outpatient clinics, and home health, with a strong push into digital health tools for better patient outcomes. The system's growth is fueled by mergers, like the 2019 Livonia acquisition, expanding its Midwest footprint. In Michigan, where this role sits, Trinity manages major facilities like Trinity Health Oakland.

Culture-wise, expect a collaborative, mission-driven vibe with emphasis on work-life balance—many roles offer remote flexibility. Employees rave about supportive teams and professional development on Glassdoor, rating it 3.8/5 overall. People flock here for job security in a volatile industry and the chance to align work with purpose-driven values.

Billing & Follow-up Representative-I Role

Role Overview

This position focuses on managing hospital billing and insurance follow-up to ensure timely reimbursements. You'll resolve denied claims and patient inquiries, directly impacting Trinity Health's financial health. Daily wins mean fewer unpaid bills and smoother operations for clinical teams.

Detailed Responsibilities

• Review and submit hospital claims to insurance payers like Medicare, Medicaid, and commercial providers.
• Follow up on outstanding accounts receivable through phone calls, emails, and payer portals.
• Investigate and appeal denied or rejected claims, analyzing denial reasons for resubmission.
• Handle patient billing inquiries, set up payment plans, and process adjustments.
• Document all interactions in the billing system for audit compliance.
• Collaborate with clinical staff to obtain missing documentation for claims.
• Monitor aging reports to prioritize high-dollar accounts.

Day-to-Day Workflow

Mornings kick off with queue reviews—scan your assigned accounts for aging claims over 30 days. You'll log into the Epic billing module, pull reports, and start follow-ups via payer portals like Availity or payer-specific sites. Expect 50-70 calls daily, mixing scripted appeals with problem-solving for complex denials.

Afternoons shift to appeals and documentation, cross-referencing medical records for coding accuracy. End with team huddles via Microsoft Teams to flag tricky cases. Remote setup means a quiet home office with dual monitors boosts efficiency.

Tools and Technologies

Core to the role is Epic Resolute for hospital billing, handling claims from submission to payment posting. You'll use payer portals such as Change Healthcare and Optum for follow-ups. Excel shines for aging reports and denial trend analysis, while Microsoft Outlook and Teams keep communications flowing. Familiarity with HIPAA-compliant remote access via Citrix helps too.

Skills and Requirements

Technical Skills

Entry-level billing knowledge is key—understand ICD-10, CPT coding, and modifiers for hospital claims. Proficiency in Epic or similar EHR systems gives an edge; many learn on the job. Excel skills for pivot tables and VLOOKUPs are non-negotiable for report handling.

Soft Skills

Tenacity drives success in follow-ups; payers can be tough negotiators. Clear communication shines in patient calls and appeal letters. Attention to detail prevents costly resubmission errors, while adaptability handles shifting payer rules.

Experience Expectations

No degree required, but high school diploma or equivalent is standard; associate's in health information management helps. Prior medical billing experience, even from clinics, stands out—internships count big. GPA matters less than proven accuracy in cash posting or claims work.

Salary and Benefits

Expect $18-$24 per hour for this entry-level remote role, aligning with Michigan market rates for hospital billers. Top earners hit $26/hour with experience. Annual equivalent lands around $40,000-$50,000 for full-time.

Benefits shine: comprehensive health coverage from day one, 401(k) match up to 6%, and generous PTO. Remote perks include home office stipends and flexible hours. Full-time conversions are common after 6-12 months strong performance, with paths to senior biller roles.

Trinity Health Hiring Process

Step-by-Step Hiring Stages

1. Application: Submit resume and cover letter via Trinity's Taleo ATS, tailoring to billing keywords.
2. Screening: HR phone call (15-20 mins) checks availability and basic experience.
3. Assignment: Complete a claims denial scenario or Excel test emailed within a week.
4. Interviews: Two virtual rounds—manager (behavioral) and team panel (role-play).
5. Offer: Background check and references, then formal offer within 1-2 weeks.

Application Timeline

Apply anytime; postings stay live until filled. Process spans 3-6 weeks total. Peak hiring hits post-year-end when billing volumes surge.

Screening Methods

Taleo ATS scans for keywords like "claims follow-up," "Epic," "denial management." No portfolio needed, but attach billing certifications like CBCS. Video intros via HireVue may screen soft skills early.

Interview Preparation

Example Interview Questions

• Walk me through how you'd handle a $10,000 Medicare claim denied for missing documentation.
• Describe a time you resolved a customer dispute over a bill.
• How do you prioritize follow-ups on a 100-account queue?
• What steps ensure HIPAA compliance in patient communications?

How to Answer

Use STAR method: Situation, Task, Action, Result. For the denial question, outline checking records, contacting the coder, resubmitting with appeal letter—cite a real or hypothetical 90% recovery rate. Keep answers concise, 2-3 minutes each, tying back to efficiency.

What Recruiters Evaluate

They seek detail-oriented hustlers who stay calm under payer pressure. Metrics like denial reversal rates matter. Cultural fit—team players aligning with Trinity's service mission—seals deals.

How to Get Selected

Practical Tips

• Quantify resume bullets: "Resolved 200+ claims monthly, recovering $50K."
• Research Trinity's Michigan hospitals; mention Oakland in your cover letter.
• Get certified—CPB or CMRS via AAPC boosts visibility 30%.
• Network on LinkedIn with Trinity billers for referrals.

Common Mistakes to Avoid

Don't submit generic resumes; ATS rejects 70% without keywords. Skip vague answers—recruiters spot fluff. Ignoring remote setup questions (e.g., reliable internet) kills candidacy fast.

How to Stand Out

Build a one-page "billing wins" portfolio with anonymized claim examples. Volunteer for free clinic billing to gain experience. Follow up post-interview with a tailored thank-you noting a specific denial trend you researched.

Final Thoughts

This Trinity Health role isn't just a job—it's your launchpad into healthcare finance with remote flexibility and growth potential. Nail the details, show grit, and you'll join a team making real differences. Polish that application today and step toward a rewarding career.

Frequently Asked Questions

Q: What is the salary for Billing & Follow-up Representative-I at Trinity Health?

A: Ranges $18-$24/hour, or $40K-$50K annually, based on experience and Michigan rates. Negotiate with certifications.

Q: How competitive is it to get hired at Trinity Health?

A: Moderately competitive for entry-level; 50-100 applicants per role. Stand out with billing experience or certs.

Q: What skills are most important for this role?

A: Claims follow-up tenacity, Epic proficiency, and Excel for reports top the list. Soft skills like communication seal it.