HEALTH INFO SPECIALIST I/II - PART TIME

Process insurance and patient payments and posts into patient accounts in the EMR. Performs reconciliation processes daily. Ensures the quality of medical records through chart audits and confirms and/or assigns appropriate coding and billing elements according to regulations, guidelines and rules. Performs credentialing/enrollment activities. Provides support to the health information system operation. Prepares statistical reports and studies. Maintains the confidentiality, security and organization of medical records. Releases patient information while following all internal processes. Follows all HIPAA and FERPA standards as they relate to all duties.

(ST-5) HEALTH INFORMATION SPECIALIST I:
High School Diploma or GED.
Two years demonstrated experience in electronic medical billing and/or coding, and/or payment posting.
Extensive knowledge in ICD-10-CM, CPT, and HCPS coding system.
Experience in electronic filing of health insurance claims.
Experience with answering billing/coding questions.
Excellent critical thinking and problem-solving abilities.
Able to function effectively as a member of a multi-disciplinary team Demonstrated positive interpersonal skills.
Demonstrated ability to communicate effectively in a professional manner and project a positive attitude.
Ability to perform the essential functions of the job with or without reasonable accommodation.

(ST-6) HEALTH INFORMATION SPECIALIST II: ADDITIONAL QUALIFICATIONS
Five years demonstrated experience in electronic medical billing and/or coding, and/or payment posting.
Extensive knowledge in interpreting EOBs, payment vouchers.
Demonstrated ability to resolve complex billing and insurance issues.
Demonstrated ability to interpret patient accounts and monitor patient billing cycles.
Demonstrated ability to communicate and/or train other staff in insurance guidelines and monitoring of patient accounts.
Demonstrates strong leadership characteristics and initiatives that closely align the Central Michigan University Leadership Standards.

(ST-5) HEALTH INFORMATION SPECIALIST I:
Knowledge and experience in use of Epic.
Knowledge of university policies and procedures.
Knowledge of medical terminology

(ST-6) HEALTH INFORMATION SPECIALIST II:
Associates degree preferably in health information management or equivalent education and experience and/or Certification as a Coding or Billing Specialist or eligible for certification.
Experience in Provider credentialing and enrollment.
Experience in accounts receivable and collections.

(ST-5) HEALTH INFORMATION SPECIALIST I:
Performs medical record audits (based on HCFA and AMA regulations and guidelines).
Review, interpretation and coding of services provided.
Solves coding, billing, and insurance issues.
Payment posting including interpretation of EOBs, vouchers.
Reconciles patient accounts and answer patient questions regarding their account.
Monitors aging accounts and work according to department standards.
Assists with internal collection processes related to patient accounts.
Assists with provider credentialing and enrollment as needed.
Retrieves and delivers medical records as requested by patients, outside providers, insurance carriers, lawyers, etc
Coordinates outgoing referrals from providers: email referral packet to patient, contact specialist to set up appointment, send all pertinent records to specialist office.
Attends seminars, takes part in webinars, looks for other educational opportunities in order to stay up to date regarding government, AMA, and insurance rules related to documentation guidelines for auditing and coding purposes.
Prepares statistical reports and studies.
Provides support to health information systems operations.
Performs other duties as assigned.
(ST-6) HEALTH INFORMATION SPECIALIST II:
Performs credentialing and enrollment functions; ensure new providers are credentialed with payers, as well as maintaining credentialing on current providers.
Manages coordination of care and billing between CMU Health and affiliated offices both on and off campus.
Manages all aspects of CMU Health internal collections efforts, including coordination with CMU student accounting and external collection agency.
Communicates knowledge and findings with CMU Health staff including Providers to include training of others.
Leads process improvement efforts and initiatives as it relates to health insurance claims, patient accounts, medical billing and coding, provider credentialing and enrollment and healthcare compliance to include research, implementation and training as needed.
Uses independence of action and judgement to investigate and resolve complex insurance claim, billing and payment discrepancies, provides follow-up on claim denials and files appeals when appropriate.
Responsible for ensuring compliance of medical, governmental and university policies and procedures as it relates to the duties performed in this position.
Assists with the process for supervising physician agreements and renewals
Reviews and ensures resolutions for Monthly Aged Accounts
Performs billing duties, utilizing specific knowledge of medical terminology and hospital and office procedures.
Processes selected billings and payments
Performs other duties as assigned.

None.

Central Michigan University has a more than 125-year legacy of preparing students to become leaders and changemakers in their communities and in their personal and professional lives.

We serve nearly 15,500 students on our Mount Pleasant campus, in satellite locations around the state and throughout the country, and through flexible online programs. Many of our approximately 300 undergraduate, masters, specialist and doctoral programs in the arts, media, business, education, human services, health professions, liberal arts, social sciences, medicine, science and engineering are nationally ranked for excellence.

CMU leads the nation in leadership development programming through our Sarah R. Opperman Leadership Institute, and we are proud to be among only 5% of U.S. universities in the top two Carnegie research classifications. Our faculty work with graduate and undergraduate students in areas such as Great Lakes research, medical innovation, engineering technology and more.

Central is home to 17 mens and womens Division 1 sports including football, basketball, gymnastics, baseball, wrestling and more. Our student-athletes achieve great success in competition and in the classroom, capturing Mid-American Conference championships and maintaining an average cumulative GPA of 3.17.

CMU is located in Mount Pleasant, a community that blends the best of small-town living with big-city amenities. Its part of the culturally varied and vibrant Great Lakes Bay Region that also includes Saginaw, Bay City, Midland and the states largest Native American community, centered on the Saginaw Chippewa Isabella Reservation in Mount Pleasant.

Area residents enjoy the mix of outdoor activities, cultural events, shopping and dining options, and family attractions. Other major Michigan destinations and attractions - Lansing, Grand Rapids, Detroit, Traverse City, wineries, beaches, golf and ski resorts, and many more - are within easy reach of the citys central location in Michigans Lower Peninsula.

CMU employees enjoy access to a nationally recognized wellness program along with health care and benefits that exceed regional, state and national norms.

Central Michigan University is a place where we value students and work for their success, where we act as family, and where employees are engaged, appreciated and have extraordinary opportunities to make a difference.

We intentionally maintain and strengthen the hallmark CMU culture that sets us apart from our peers by expecting CMU leaders and employees to model the following Leadership Standards and develop them within their teams.

Please review the Leadership Standards before applying for this position.

Central Michigan University is dedicated to fostering an environment that is reflective of the communities we serve. We are especially interested in highly qualified candidates who will advance and promote CMUs mission, vision, and leadership standards.


You must submit an on-line application in order to be considered as an applicant for this position.

Cover letters may be addressed to the Hiring Committee.

This position will remain open until filled. The university reserves the right to close the recruitment process once a sufficient applicant pool has been identified. For best consideration, please submit application materials on or before November 6th, 2025.