Payors Audits and Reviews; TEMP

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.

Under direct supervision, responsible for conducting or assisting in the conduct and documentation of simple to moderate audit projects. Provides support to audit staff with data entry. Monitors OnBase work queues, incoming mail, and other correspondence to ensure is directed to the appropriate area for processing. Assist with monitoring payer web portals as needed. Performs data entry of incoming requests for records, over payments, and audits.

Ensures timely entry of requests.

• Coordinates intake and distribution of audits and audit notifications for all of Revenue Cycle.
• Triage and prioritizes ADRs and audit notifications received via mail and fax, reviews and distributes correspondence received via lockbox; escalation as appropriate.
• Navigates and monitors third party payor web portals, mail, fax and lockbox to obtain audit notifications and outcomes, and follows up when outcomes or expected correspondence has not been received in a timely manner, or where there are concerns or issues with audits.
• Monitors and maintains Audit Module email inbox, including receipt of audit and outcome notifications and distribution of correspondence to Michigan Medicine audit follow up staff as appropriate.
• Triage, track and report out new audits and requests for records to appropriate stakeholders, including identifying appropriate responsible parties depending on the issues raised by the auditor.
• Communicates directly with third party payors and third party auditors as necessary to support Michigan Medicine staff in timely and appropriate completion of all audits.
• Other clerical duties as assigned.

• High school diploma or equivalent.
• Excellent computer application skills with the ability to utilize current technology.
• Ability to work remotely in an efficient and productive manner.
• Strong dedication to customer service, ability to be flexible and work within a team-focused approach.
• Demonstrated ability to embrace the High Reliability Organization approach including “Know Why and Comply” concept.

• Strong dedication to customer service, ability to be flexible and work within a team-focused approach.

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.

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.

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.

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.