If you are looking for a position within the field of medical billing in Michigan, you've come to the right place. All listings appear for TWO months, or until the position has been filled. Be sure to notify the MMBA office once the position has been filled, or if you wish to remove the posting early.
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Current Job Postings
Medical Biller Outpatient Therapy
Full or Part Time Medical Biller to join our team of rehabilitation therapists.
Please send resume and cover letter to: Therapysol@yahoo.com
Currently we bill Commercial payers, Medicare, Work Comp and Auto No-Fault. Responsibilities include, but not limited to: insurance verification, assist with coding, reviewing documentation, submitting claims using our EMR, working denials, and tracking status of claims.
Skills sought after: Highly communicative with team, pro active, high attention to detail, problem solver, and desire to contribute to the teams success.
Professional Billing Services Manager
CMU Medical Education Partners
Due to exciting growth we are seeking a Professional Billing Services Manager to join our Revenue Cycle Team!
To apply please send resume to email@example.com, or apply online at: https://careers-cmich.icims.com/jobs/1527/professional-billing-services-manager/job
Overview: The Professional Billing Services Manager is responsible for oversight of day-to-day tasks assigned to medical billing staff within the revenue cycle department. The Professional Billing Services Managers responsibilities include identifying insurance reimbursement issues, ensuring claims, denials, and appeals are efficiently processed, and organizational metrics are achieved. Essential Functions: • Under direction of the Revenue Cycle Director, Manager will be responsible for oversight of day-to-day departmental activities, monitoring aging and denial work queues to ensure organization metrics related to aging and collections targets are met and taking first line questions and monitoring established daily activity and productivity metrics. • Achieve and maintain reimbursement related key performance indicators and benchmarking revenue cycle goals (i.e., reducing days in A/R, decreasing outstanding receivables, increasing first pass rate %). • In collaboration with Revenue Cycle Director, and clinical program managers, implement processes to ensure services provided in both ambulatory and inpatient settings are accurately captured and billed timely according to organizational expectations. • Implement agreed upon departmental workflows and monitor compliance to ensure identified metrics are met. When metrics are not met, identify issues impacting success, develop and implement plans to address, and escalate to the Revenue Cycle Director in accordance with organizational expectations. • Work in conjunction with Professional Billing Services Coordinator and Lead Coder on process improvement goals related to reducing claim denials. • Understands and supports quality related performance incentive programs offered by health plans and coordinate with clinical teams, quality representatives, operations, PCMH representatives, coding, and billing personnel to ensure measures are properly recorded and submitted. • Monitor staff performance based on expectations set by Revenue Cycle Director and provide regular feedback of overall team and individual expectations with employee and Revenue Cycle Director. • Counsel, develop and evaluate the performance of direct reports to organizational standards, expected behaviors, corporate values, and policies. • Maintain personal and professional growth and expertise by remaining current with state and federal associations and with professional trends, and by participating in payer sponsored educational events.
Education and Experience: • Associate degree or three to five years of relevant experience (physician billing, coding, or provider credentialing experience); Bachelor’s degree preferred • Three years of relevant physician billing, coding acting in a lead or supervisory capacity • Preferred experience working in EPIC or equivalent EMR. • Must possess strong leadership, organizational and planning skills. • Demonstrated ability to manage complex tasks effectively, including exceptional attention to detail, organization, timeliness, and follow-through.
Certified Medical Coder
We have several contract remote coding positions open for coder experience in physician professional coding. These services take place in the hospital. Mostly EM but there are also procedures/specialty coding
To apply please send a resume to: firstname.lastname@example.org
Jupiter Family Medicine
Belmont, MI (north Grand Rapids area)
Medical Billing Position: Full or Part Time A successful candidate for this position will have the experience and knowledge to accurately post insurance and patient payments, resolve denied claims, work the patient and insurance accounts receivables in a timely manner.
Core Job Requirements: Must be a highly organized person with the ability to work independently. Have a positive attitude and be polite in all verbal and written correspondences, including phone calls with patients and insurance companies. Accurately post and balance all insurance and patient payments. Work the insurance and patient accounts receivable-denial management of unpaid medical claims. Resubmit insurance claims as necessary with all supporting documentation, including appeals. Process insurance take-backs or prepare refund forms for all accounts identified as an over paid. Have a working knowledge of CPT and ICD-10 codes, CCI edits, HIPAA and government regulations. Performs other duties or functions as assigned.
Required Qualifications: A minimum of three (3) years working experience as a Medical Biller with Accounts Receivable Experience. Prefer individual with proficiency in Allscripts Practice Management software and Microsoft Office.
Please send resume to Dr. Ramirez by email, email@example.com
MI Rad Onc Consultants
Billing Specialist/Medical Coder—Our busy medical practice is looking for a full time, skilled billing specialist/medical coder to join our team. Our group practice provides radiation oncology professional services to 6 locations. Benefits begin immediately upon start and include: health insurance, contribution to 401(K), paid time off. No holidays or weekends!
Responsibilities for the billing specialist/medical coder include: • Answering phones • Charge entry • Government & Commercial insurance billing • Medical Appeals • Collections, etc.
Requirements for the billing specialist/medical coder include: • Great customer service and phone etiquette • Strong data entry skills • Detail oriented & ambitious • Willingness to learn • Knowledge of Microsoft Excel • 2 years of general or medical office experience preferred Those with previous Medicare billing and appeals processing experience are highly encouraged to apply.
Please send cover letter and resume to attention of Amy.Nolin@mclaren.org
Michigan Medical Billers Association
The role of the administrative assistant is a remote position (15-20 hrs/week)
This position is as contract services administrative support (1099 self-employed position)
- Responsible for the day to day running of the MMBA office
- Assist members with the website (help with login, membership renewal and meeting registrations)
- Send out meeting notices and reminders
- Manage RSVP through mail, website and communicate to chapters with the final sign in
- Maintain database and develop list according to preference, clear bounce backs and unsubscribed from contact lists weekly
- Assist Chapter Co-Chairs with meeting details, set up GoToWebinar meeting, add event to website
- Help create forms available to all board members in a shared location
- Work with VP of Communications on social networking, website , email blasts
- Sending out annual membership renewals (Email and/or postcards)
- Developing non-member mailing lists (MSMS and AMBA)
- Answering phones and emails
- Send CEU certificates to members that have completed On-Demand sessions after review of GTM Video Log
- Maintain inventory of MMBA supplies, make sure each chapter has marketing items
- Copying, printing as requested by board members
- Attend local in –person chapter meetings
- Prepare necessary packets for Semi-Annual and Annual Board meetings including agenda, financial reports and chapter reports
- The AA will take the lead on any questions, emails generated by the website (Contact Us and forum posts)
Please forward resume and letter of introduction to firstname.lastname@example.org
Medical Coding/Billing Specialist
Full time for vascular surgery practice
The ideal candidate will possess the following qualifications:
· High school diploma or equivalent
· Medical coding credential (beyond apprentice) obtained through AHIMA or AAPC (preferred)
· Medical Billing education from verifiable source (preferred)
· 2 years Professional medical billing experience (preferred)
· 1 year practice management program experience (preferably Epic Systems)
Review patient encounters to accurately assign appropriate CPT, ICD-10 and HCPCS codes for the purpose of payer reimbursement
Successfully access and navigate government and payer portals to obtain coverage verification, patient eligibility and benefits, claim info, remittance advice and claim appeal/dispute functions
Post insurance and patient payments and perform end-of-day balancing and reconciliation
Accurately correct and resubmit rejected claims for payer reconsideration
Manage accounts receivable to ensure timely reimbursement
Resolve credit balances
Stay current with government policies and payer guidelines to ensure timely claims resolution
Consistently carry out duties and interactions at a high level of proficiency and professionalism
Benefits: Professional credential maintenance, PTO, paid holidays, 401k, employer/employee funded health, vision, dental insurance
Please forward resume and letter of introduction to email@example.com
Medical Billing Specialist
Alliance Healthcare Solutions
Alliance Healthcare Solutions in Grand Rapids, MI Medical Billing Specialist Remote Position: Full or Part Time
A successful candidate for this position will have the experience and knowledge to accurately post insurance and patient payments, resolve denied claims, work the patient and insurance accounts receivables in a timely manner. Core Job Requirements: Must be a highly organized person with the ability to work independently. Have a positive attitude and be polite in all verbal and written correspondences, including phone calls with patients and insurance companies. Accurately post and balance all insurance and patient payments. Work the insurance and patient accounts receivable-denial management of unpaid medical claims. Resubmit insurance claims as necessary with all supporting documentation, including appeals. Process insurance take-backs or prepare refund forms for all accounts identified as an over paid. Place unpaid patient balances with external collection agency. Have a working knowledge of CPT and ICD-10 codes, CCI edits, HIPAA and government regulations. Provide PTO coverage for other staff members. Performs other duties or functions as assigned.
Required Qualifications: A minimum of three (3) years working experience as a Medical Biller with Accounts Receivable Experience. Proficient with medical practice software systems and Microsoft Office.
Please send cover letter and resume to: firstname.lastname@example.org
Orthopaedic Associates of Michigan
Grand Rapids, MI
The Registration Supervisor is responsible for ensuring excellent customer service, accurate and timely completion of all activities of the registration operations. Provides leadership and direction and supervises staff in assigned registration areas. Staff is located in multiple areas and facilities.
This position reports to the Patient Access Director. This position does have supervisory responsibilities. Required / Desired Qualifications Bachelor’s degree in business or related field preferred. Minimum of three years of supervisory experience. Minimum of five years of experience in a physician practice, administrative and/or clerical. Experience in lieu of education will be considered. Interested candidates can apply on our website at www.oamichigan.com/careers
Full time Medical Biller
Millman Derr Center for Eye Care, PC
Rochester Hills, MI
Seeking full time Medical Biller for busy two location ophthalmology practice and onsite surgery center. Should have excellent communication skills for working with patients. Should have three years experience or be a recent graduate from a billing education program. Excellent, flexible hours and benefits. Please send resume to email@example.com
Breast Cancer Rehab and Lymphedema Therapy of Ann Arbor LLC
Ann Arbor, MI
I am looking for a medical biller for a solo PT practice. I specialize in treating breast cancer patients. Please send your resume to firstname.lastname@example.org.
I would like to know how many years you have been billing in Michigan and what % you charge.
Orthopaedic Associates of Michigan
Grand Rapids, MI
POSITION SUMMARY Responsible for patient customer service, insurance and patient payment posting, account receivable review, resolution of unpaid and denial claims from insurance carriers, patient account collection including pre-collect and working with outside collection vendors. ESSENTIAL
RESPONSIBILITIES • Assist incoming calls to the billing department in a prompt and courteous manner; researching account balances for payment resolution. • Verify patient insurance coverage for your payer. • Accurately add payer information into patient chart. • Post all payments by line item in a timely and accurate manner. Balance transactions at the completion of each batch. • Identify all payments and rejections that weren't processed correctly or according to contract for further department action. • Accurately and timely, create a secondary claim in NextGen and forward the explanation of benefits to insurance claims processing staff. • Print and forward all EOB's to appropriate insurance collector identified as not paid per contract or require additional information and research. • Process refund forms for all accounts identified during posting as overpaid. • Work with insurance companies to identify payments that were received without explanation of benefits or not identifiable. • Identify, track, and resolve overdue insurance balances using NextGen tasking system. • Communicate with payers to appeal payments that do not match contractual agreements. • Prepare and submit professional appeal letters to insurance payers on claims rejected or paid incorrectly. • Resubmit insurance claims as necessary with all supporting documentation. • Respond to written and telephone inquiries from insurance carriers. • Manage relationships with staff from assigned insurance carriers. • Process refund request form for all accounts identified as overpaid. • Provide support on patient account calls in a prompt and courteous manner. Research accounts balances and correct errors as necessary. • Meet with Manager regularly to discuss reimbursement and insurance follow up problems, patient account status • Maintain patient confidentiality; comply with HIPAA and compliance guidelines established by the practice. • Performs other duties or functions as assigned.
REQUIRED/DESIRED QUALIFICATIONS Education, Training and Experience: § High school diploma § Three years of medical billing experience required Specific skills, knowledge and abilities: § Proven success in receivables follow-up and denials management § Proven success in payment posting and balancing a cash drawer § Working knowledge of medical billing and managed care § Strong verbal communication skills § Highly organized, detail oriented, and self-motivated § Microsoft Office and Windows based computer applications Remote Requirements • Employee provides clearly defined safe workspace including (but not limited to) desk, chair, surge protector and high speed internet. • Employee agrees that OAM equipment will not be used by anyone other than the employee and only for business related work. The employee will not make any changes to security or administrative settings on OAM equipment. The employee understands that all tools and resources provided by the company shall remain the property of the company at all times. • The employee will report any internet or power outages to his or her supervisor and make appropriate temporary work arrangements for completing work duties. •
Employee will review further remote requirements in the Telecommunting Agreement and sign prior to acceptance of employment. Motor, sensory and physical requirements: • Ability to sit for prolonged periods of time • Frequent bending, stooping, lifting and reaching required • Employee may be required to lift up to 30 pounds. • Manual dexterity required to operate modern office equipment • Employee must have normal or correctible range of hearing and eyesight.
Please email resume to: email@example.com
Pleasant View Shiawassee County Medical Care Facility
Pleasant View Shiawassee County Medical Care Facility is looking for a full time medical biller to handle the billing process.
Essential Functions: Manage the status of accounts and balances and identify discrepancies. Issue billings and post receipts and invoices. Process month end. Review aging of outstanding receivables and follow collection policy. Manage the reporting and accuracy of the daily census.
Qualifications: Experience as a medical biller. Proficiency in Microsoft Office. Excellent attention to detail. Adhere to acceptable business practices in matters of conduct and behavior and exhibit a high degree of integrity, confidentiality and teamwork.
Please submit your resume to firstname.lastname@example.org to apply for this position and if you have questions, please call Sandy Lamb, HR Director, at 989 743-3491, ext. 535.
Senior Revenue Cycle Director
Orthopaedic Associates of Michigan
Grand Rapids, MI
The Senior Director of Revenue Cycle provides managerial direction, leadership, consultation and expertise for the revenue cycle management team. Responsible for identifying opportunities for enhancement and/or standardization initiatives, managing the long-term success and sustainability of those initiatives, and continuous improvement projects OAM.
Work assignments require significant management and/or consulting knowledge and experience in order to plan, coordinate, influence and control the activities of others, as well as integrate activities that are relatively homogenous or diverse in nature. Motivates team to achieve the highest levels of customer satisfaction and to meet the organization goals for customer service, operational and financial performance in order to achieve a highly functioning revenue cycle team.
Our ideal candidate would have the following qualifications: -Bachelors degree in business or related field preferred -Comprehensive knowledge of revenue cycle functions and systems -Strong knowledge of physician practice management systems. NextGen experience is preferred. -Ten or more years of experience in healthcare within the area of revenue cycle specifically managing performance improvement or continuous process improvement projects other management functions related to revenue cycle activities. Professional and ancillary related services experience is preferred. -Experience in private practice preferred.
Please send resume to the attention of: email@example.com
Total Vision Center
We are a small practice, but the doctor does own another location in Marysville that would also need billing services. We may only average 3-5 claims a month between both offices.
We are trying to find an individual or a company that would be willing to bill our Medicare claims and some of our medical claims. We may only average 3-5 claims a month between both offices.
I can be reached through email at firstname.lastname@example.org or if you would like to call me my number, it is, (586) 716- 9101.
Robert Woytta, Office Manager at Total Vision Center
Patient Financial Experience
University of Michigan Health-West
General Summary: Under limited direction, the Patient Financial Experiences Rep is responsible to assist patients in resolution of Hospital and Professional billing and insurance concerns. In addition, Patient Financial Experiences Rep will aid patients in enrolling in Financial Assistance or supplemental payment plans such as Care Payment; provide charge estimates, and collect payments. Goal is to provide exceptional customer service to all callers while ensuring prompt, accurate reimbursement for services rendered.
Requirements: Minimum high school diploma or GED required. Two (2) years of experience working in an accredited hospital, physician office or medical call center. Background in facility and professional claims resolution preferred. Knowledge of medical terminology, ICD-10, CPT codes preferred. EPIC or Revenue Cycle Certification a plus. Ability to work independently with minimal supervision. Excellent oral and written communication skills. Proficiency with computer functions, including ability to use automated systems for third party billing and insurance follow up. Professional, business-like appearance and demeanor. Recognizes and reports problems, errors and discrepancies to management. Shares information with co-workers. Ability to contribute to team efforts.
Essential Functions and Responsibilities: Provides exceptional customer service to all patients/callers by offering assistance and ensuring customer satisfaction. Answers inbound customer calls for at least 80% of the workday responding to inquiries with empathy and personal integrity. Handles challenging patients and customers effectively and professionally. Interpret insurance plan benefits and explain patient’s financial liability for deductible, co-insurance, and/or non-covered benefits. Provides charge and out-of-pocket estimates for medical services/procedures. Works closely with Hospital and/or Physician office staff to obtain correct information for billing purposes. Posts cash payments and reconcile vouchers according to department standard work plan. Review and interpret insurance plan benefits, explanation of benefits forms and validate the payments and adjustments made on accounts are correct. Maintains daily work queues according to payer requirements, including credit balances. Assists patients with enrollment in payment plans, Patient Financial Assistance and/or Care Payment. Responsible for quality and productivity standards established by management. Complete knowledge of payer guidelines, including utilization of payer websites and other tools. Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.
Please apply here: https://metrohealth.csod.com/ats/careersite/JobDetails.aspx?id=4327&site=2
Catherine's Health Center
Grand Rapids,MI (Remote)
Job Summary This position is responsible to provide timely, proper, and correct coding for all medical diagnoses and procedures for a fully integrated health center. The medical coder will work well independently, but effectively utilize resources to ensure absolute accuracy in their work. Effective communication will be vital in this role to ensure organization, accuracy, and confidential standards are kept as well as maintaining compliance according to current medical coding protocols.
Primary Location: Remote. Training to be provided in-person at Catherine’s Health Center Creston (1211 Lafayette Ave NE Grand Rapids, MI 49505)
Position Supervisor: Revenue Cycle Manager
Pay: Starting at $18 /hour
Job Type: Full-time FLSA Status: Non-exempt Coding books and a company laptop will be provided
Description of Duties/Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases), CPT (Current Procedural Terminology) and HCPCS Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations Follow up with the provider on any documentation that is insufficient or unclear Communicate with other clinical staff regarding documentation Review patient charts and documents for accuracy Comply with medical coding guidelines and policies Keep up with payer updates Other duties as assigned
Minimum Position Qualifications High school diploma, GED, or suitable equivalent 2 years of work experience as a medical coder Medical Terminology Must be certified by one of the following: American Academy of Professional Coders (AAPC) certification or American Health Information Management Association (AHIMA) Skills, Knowledge, and Experience Requirements Proficient computer skills Excellent communication skills, both verbal and written Strong interpersonal skills Excellent organization and attention to detail Ability to maintain confidentiality of information Commitment to Catherine’s mission of providing access to high quality, affordable, and compassionate healthcare Dedication to Catherine’s values of social justice, service, dignity, and stewardship
Job Type: Full-time Start Pay: $18.00 Benefits: Dental insurance Health insurance Life insurance Paid time off Vision insurance Work from home Schedule: 8 hour shift Day shift ( hours negotiable) Monday to Friday COVID-19 considerations: All employees are required to wear masks on site and have up-to-date COVID-19 vaccines (or an approved exemption). Temperature checks/individual screenings are also taken at the beginning of each shift.
Experience: Medical coding: 2 years (Preferred) ICD-10: 2 year (Preferred) Willing to take a CPC- A License/Certification: AAPC/AHIMA Certification (Required) Work Location: Remote
Please send cover letter and resume to email@example.com
Medical Biller/Office Manager
Northville Physical Rehabilitation
Full time Medical Biller / Office Manager with experience for an outpatient physical rehabilitation clinic in downtown Northville. $ 24 to 26/hr. Flexible hours . Benefits available.
Send email to firstname.lastname@example.org
Michigan Surgery Specialists
Warren, MI (Hybrid Remote)
Role/Position Definition: Under general supervision, reviews medical records and assigns diagnostic and procedure codes using ICD-9-CM/ICD-10-CM (as applicable) and CPT-4 coding classification systems. Assigns and sequences all codes following coding guidelines published by the American Medical Association. Performs data entry utilizing multi-grouper encoding system as applicable. Adheres to America Health Information Management Association code of ethics.
Qualifications/Position Requirements: A. Education/Experience - High School Diploma / GED required - Graduate of an approved certified coding program preferred. - Minimum of 2 years coding experience required. - In lieu of 2 years of coding experience with schooling, a minimum of 3 years experience or CPC certification required. B. Maintain Licensure/Certification - Must possess one or more of the following certifications: CCS, CPC, COC, CPC-H, RHIA, RHIT C. Knowledge, Skills and Abilities - Knowledge of coding software. - Knowledge of major disease process, pharmacology, and concepts of disease. - Knowledge of classification systems, ICD-9-CM/ICD-10-CM nomenclature, and CPT-4 coding guidelines. - Skill in understanding medical/surgical coding procedures and protocols. - Skill in interpreting and applying ethical coding standards. - Good communication skills.
Duties and Responsibilities: • Responsible for coding, abstracting, and sequencing the classification of medical and surgical procedures, diagnosis, and treatment modalities. • Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD 9 CM/ICD-10-CM and CPT-4, HCPCS diagnostic and operative procedure codes to charts and related records by reference to designated coding manuals and other reference material. • Follows official coding guidelines to review and analyze medical records. • Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications, and co-morbid conditions assigned codes. • Utilizes the coding query process to physicians to request or clarify missing information. • Keeps current with new coding guidelines by pursuing professional growth, attending meetings and seminars. • Develops, promotes and maintains a good working rapport with interdepartmental personnel as well as physicians, supervisors, patients, visitors, and other department areas within the facility. • Recognizes and reports problems/issues using established lines of authority. • Maintains and promotes professional competence through continuing education and other leaning experiences. • Responsible to educate and inform professional staff on updated coding changes. • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. • Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. • Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. • Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. • Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. • Performs all other duties as assigned.
Please send resumes to: DanOddo@msspc.org
Orthopaedic Associates of Michigan
Grand Rapids,MI (Remote)
Orthopaedic Associates of Michigan is looking to add a Coding Specialist to our team! This is a remote position, but candidates must live in the state of Michigan.
Job Summary: In an accurate and timely manner, assigns CPT and ICD10 codes to procedures based on the physician or mid-level provider's documentation and enters those charges in the practice management system.
This position will also be working on coding denials and tasks, writing appeal letters, and assist with coding consults. Interested applicants can apply on our career page: www.oamichigan.com/careers
Michigan Surgery Specialists
Warren, MI (Hybrid Remote)
Role/Position Definition: Responsible for competing the billing process and sending out all Accounts Receivable claims. Assists in processing all reimbursements received. Reviews and calculates all payments and maintains all payment records.
Qualifications/Position Requirements Education/Experience: 2+ Years of Healthcare Billing experience strongly preferred. 1 Year required. Experience in a healthcare setting preferred.
Licensure/Certification: Certified Medical Biller Certificate Required.
Duties and Responsibilities: Support Physicians and other staff in all offices as needed. Under the general supervision of the Manager is responsible for posting, billing, and collection of all accounts receivables, ensuring timely cash flow for the organization. Enters patient information, charges, and payments into the computer system as necessary. Collates patient documentation with claim form, searching for needed documentation where necessary. Processes insurance claim forms for all offices. Processes all account receivables which include pulling vouchers, rebilling, and statusing all old A/R. Maintains and updates patient demographic information related to the process of clean claim submissions. Maintains and ensures that all billable procedures are correct and accurate prior to claim submission to all payers. Monitors all billing for timely submission to all payer guidelines and stays informed of changes in billing procedures that impact the filling of claims. Monitors all outstanding accounts receivables and follows up with insurance companies in a timely manner. Identifies and resolves claim errors prior to claim being submitted to payers.
Assists with collection efforts. Reviews patient accounts and sends collection statements on a monthly basis. Assists in any special billing projects as needed and works as a team member. Utilizes time management, organizational, and multi-tasking skills necessary in order to complete the tasks at hand.
Interested candidates should submit a resume to HR Supervisor, Melissa Herrman, at email@example.com
Utilization Review - Department Analyst
State of Michigan Department of Insurance and Financial Services
DIFS is hiring THREE highly organized individuals with exceptional written and verbal communication skills to handle complex health care provider appeals and applications for certification in the Utilization Review Unit within the Office of Research, Rules, and Appeals.
The successful applicant will work in an area that is vital to the new auto insurance reform law. The work will involving reviewing and analyzing complex documentation and ensuring that equitable treatment and consideration is given to the health care provider and insurance company under the law and rules.
Applicants can apply and read more about the position, at the following link: https://www.governmentjobs.com/careers/michigan/jobs/3458681/departmental-analyst?department=Department%20of%20Insurance%20and%20Financial%20Services&sort=PositionTitle%7CAscending&pagetype=jobOpportunitiesJobs
Patient Service Specialist
Cloud 9 Medical Solutions
Cloud 9 Medical Solutions is a Michigan based medical billing company that is rapidly expanding. We are seeking a remote patient service specialists to work with patients / practices providing a high level of service.
Main Duties • Answer patient calls regarding their bill • Processing patient payments over the phone • Working with billing specialist internally to resolve and answer any patient questions • Posting payments in the practice management system • Communicating with the practice / client • Perform claim / accounts receivable follow up on behalf of the patient and practice
Skills / Disciplines • A minimum of 3 years medical billing experience • Excellent communication skills • Good computer skill - ability to navigate different practice management software systems • A good understanding of the billing process both insurance and patient • Ability to work remotely yet be part of a service team
Compensation / Benefits • Compensation will be commensurate with expertise and skills in the medical billing field • Part time employees do not receive paid time off or medical benefits Additional Notes: •
This position may begin as a part time position but grow into a full-time position based on the continued growth of our company and the performance of the employee. • Must be able to work during the day, Monday – Friday. Cloud 9 Medical Solutions is an equal employment opportunity employer.
Please send resume to: firstname.lastname@example.org
Professional Foot & Ankle Centers, P.C.
Davison and Lapeer, MI
We are looking for a full time medical biller. If you are interested, please send cover letter and resume to Dr. Mark Williams @ m.r. email@example.com
Cadillac Family Physicians PC
Cadillac Family Physicians PC is a private Primary Care office located in Cadillac, MI. We care for patients of all ages. Our office is owned by three of the Providers with support from two additional Providers, two Physician Assistants and a Family Nurse Practitioner. Additional information is available at www.cadillacfamilyphysicians.com.
We need a full-time Medical Biller/Coder to review, code, and submit claims to insurance carriers. Medical billing experience with ICD-10 is required, and certification is preferred. This position offers a hybrid work option – divide work hours between in-office and remote. Interested persons must be experienced in communicating with the public, as well as insurance carriers and businesses. Minimum of a high school diploma with efficient typing and computer skills are required.
The Medical Biller/Coder is responsible to maintain up-to-date knowledge of medical terminology, ICD-10 insurance billing and coding. Tasks include billing all daily appointments by reviewing charges for errors, applying modifiers, and submitting to insurance companies. Biller’s also process claims for AFC home visits, auto insurance, worker’s compensation, occupational health, care management and hospice. Billers correct and rebill denied claims. Discrepancies on charges are communicated to the Providers. The position requires cross-training to support the front desk check-in, check-out, and scheduling duties.
This position reports to the Clerical/Billing Supervisor. The work hours are Monday through Friday 8:00 am to 5:00 pm and a Saturday rotation from 8:00 am to noon. Benefits include MI paid medical leave, holiday pay, QSEHRA insurance premium reimbursement program after 3 months of employment. Earned time off and 401(k) retirement plan are available after one year of employment.
Interested candidates may submit a cover letter and resume to: Careers@cadillacfamilyphysicians.com
Advanced Practice Management
Objective: The Medical Biller is responsible for various tasks which include, but are not limited to, prompt and accurate billing, charge entry, payment posting, timely follow-up and ensuring that the correct insurance information is loaded into computer system. Position Responsibilities: The following delineation of job responsibilities are intended to reflect the major duties of this job. Other responsibilities may be assigned as deemed necessary and appropriate.
Experience working on billing software to prepare, review and submit both electronic and paper claims. • Timely follow-up on aging claims. • Ability to identify errors on claims and the ability to correct and re-submit claims appropriately. • Familiar with payer websites and have the ability to navigate to find claim status and patient benefits. • Experience with clearinghouses to review and correct claim errors. • Ability to effectively communicate with payers. • Professionally handle patient questions and concerns. • Post payments from insurance companies and patients, including electronic and paper payments. • Accurately enter daily charges. • Familiar with insurance guidelines and keep up with changes that are made. • Communicate with provider office staff/or the provider via phone, email or messaging system within EMR. • Constant communication with management regarding any issues or concerns. Position
Qualifications: Successful candidate will have a minimum of 1 year experience of medical billing. Strong problem-solving skills, customer service, communication, time management, math and computer skills required. Demonstrated ability to work and communicate well with customers, managers, providers and employees. Must work well independently and demonstrate self-driven initiative. Has a positive, open-minded, can-do attitude. This is an in-office position with the option of remote work once training is complete.
Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands to finger, handle, or feel, reach with hands and arms, and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. The noise level in this work environment is usually quiet.
Please send resume to: firstname.lastname@example.org
Great Lakes Medicine
We are looking for a full time medical biller. The position involves entering patient demographics, insurance verification, charge entry, payment posting, and account follow up. We are a Hospitlaist group and therefore do not see any patients in the office; all patients are seen in facilities.
Must have good technology/computer skills. Must be able to work Mon-Fri 9:00 a.m. to 5:00 p. m. Benefits include, employer shared health insurance premium, 401k, profit sharing and dental and vision.
Please email resume to: email@example.com
The Center for Effective Living
Macomb County, MI
MEDICAL BILLING PERSON TO ASSIST WITH TECHNOLOGY AND ELECTRONIC BILLINGS FOR BEHAVIORAL HEALTH PROVIDER.
MUST KNOW AND BE EXPERIENCED IN THE PROFESSION.
PLEASE SEND COVER LETTER AND RESUME TO LINDA48044@GMAIL.COM
Medical Billing Specialist (DME)
LUCENT Surgical Solutions, Inc.
PLEASE SEND YOUR RESUME TO: firstname.lastname@example.org .
We are seeking a highly motivated DME medical collections and billing specialist to join our team ON-SITE at our Wixom, MI medical billing office. Our Medical Billing Specialist will be responsible for data entry, insurance verification, preparing/submitting claims to insurance companies, and A/R follow up on Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate documentation and account records. If you are seeking a career in a positive work environment with lots of room for growth in the medical field, this role may be of interest as a next step in advancing your career! .
BENEFITS: -Dental Insurance -Health Insurance -Life Insurance -Paid Time Off -Vision Insurance .
IDEAL QUALITIES: -Self-starter -Highly skilled in organizing and prioritizing -Proficient computer and technical skills -Strong attention to detail -Multi-tasker -Dependable . QUALIFICATIONS: -High school diploma or equivalent -
REQUIRED -Medical insurance/billing experience – REQUIRED (Min 1 year) -DME insurance/billing experience -
PREFERRED . RESPONSIBILITIES: -Use problem solving skills and planning abilities to improve revenue cycle objectives. -Maintain a climate of teamwork and collaborative problem solving. -Share information and ideas for process improvements with the team. -Ability to learn new and progressively changing programs and software. -Use problem solving skills and planning abilities to improve revenue cycle objectives. -Stay informed on changes in insurance coverage policies and procedures. -Understand and perform duties in compliance with HIPAA and State and Federal regulations.
DAILY TASKS INCLUDE: -Scanning, document preparation, and electronic data entry. -Calling insurance companies to verify eligibility and benefits, submitted claims status, and denial inquiry. -Submitting and following up on prior authorization requests. -Following up with insurance companies to ensure proper timely payment from billed claims. -Assist in credentialing and contracting tasks for network participation, as assigned. -Managing accounts receivables/aging claims. -Corresponding with hospitals and surgical facilities to obtain patient charting, as needed. .
JOB TYPE: Full-time . SALARY: $16.00 - $20.00 per hour (based on experience) .
PLEASE SEND YOUR RESUME TO: email@example.com
Provider Relations Specialists
Accident Fund Group
Overview – Provider Relations Specialist
Pay Range: R10
FLSA Status: Non-Exempt
Union Status: Represented
Job Code: B14A05
Responsible for addressing complex and high-priority bill inquiries from providers, agents, and clients. Responsible for providing quality, consistent and accurate payment information to internal and external customers. Also responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine the appropriateness of codes and excessive charges. Responsible for making coding determinations according to state rules and regulations.
Work is performed in an office setting with no unusual hazards.
Proofreading, 10 Key, Math, Basic Windows, Reading Comprehension, Alpha Numeric
- Responsible for performing technical review of more complex medical bills, including but not limited to modifiers, anesthesia, & psychiatric.
- Responsible for generating assigned medical bills to determine compliance with business rules, client-specific requirements, and state-specific fee schedules, rules, regulations, and guidelines.
- Responsible for analyzing complex billings for multi-state Workers' Compensation medical claims to determine appropriateness of services billed.
- Responsible for making bill review processing determination according to rules and regulations and or third party partner.
- Evaluates medical bills and corresponding EOR’s for accuracy and compliance with state-mandated fee schedule(s) and our business rules and guidelines.
- Reviews inpatient hospital, outpatient hospital, and multiple surgery billings.
- Reviews, analyzes, adjusts, and releases queued bills in an accurate and timely manner.
- Refers to reference library of fee schedules, CPT, ICD-9 (10), HCPCS, and other industry publications to support findings.
- Process reconsiderations, as needed.
- Identifies system and/or bill review processing issues and reports findings to Supervisor or Manager.
- Provides high level of customer service for all business partners, internal or external customers thru telephonic, email, and fax.
- Demonstrates a dependable work ethic.
- Manages confidential client information with discretion and good judgment in accordance with department and company guidelines.
- Collaborates with supervisor to develop skills and knowledge.
- Identifies problems, provides solutions, and resolves promptly; escalating more complex problems appropriately.
- Responds to written or verbal provider inquiries relating to our bill review analysis. Analyzes problems using problem-solving methodology skills to determine root cause; communicates and implements solutions.
- Acts as a resource to MBR employees in regard to bill review questions and concerns.
- High School Diploma or G.E.D. Additional training or course work in a medical field required.
- Degree or Certification in Medical Coding
- One year as a Medical Bill Review Specialist II
- Three years experience in an insurance organization with two years demonstrated technical knowledge in medical bill review or other relevant experience, which provides necessary skills, knowledge, and abilities. One year experience in Workers' Compensation industry required. Previous experience in customer service required.
- Degree or certification in medical coding with one to two years customer service experience in a medical setting.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
- Ability to use independent discretion to make choices on proper reimbursement.
- Basic knowledge of computers.
- Working knowledge, experience, and ability to process bills using state medical payment methodologies.
- Ability to proofread documents for accuracy of spelling, grammar, punctuation, and format.
- Ability to perform mathematical calculations with the ability to use a ten-key pad with accuracy.
- Ability to manage work with minimal direction.
- Excellent oral, written communication, and customer service skills.
- Thorough knowledge of Workers' Compensation multi-state medical fee schedules, Medical guidelines, medical terminology, and CPT/ICD-9/10.
- Demonstrated attention to detail.
- Basic knowledge of the Workers' Compensation Act.
- Ability to consistently meet or exceed daily production and quality standard for this position.
ADDITIONAL EDUCATION, EXPERIENCE, SKILLS, KNOWLEDGE, AND/OR ABILITIES PREFERRED:
- One year of previous telephonic experience.
- Degree in medical coding.
- Basic knowledge of Claims process including medical reserving procedure.
If interested, please apply online at: https://www.accidentfund.com
Strategic Revenue Solutions
Medical Accounts Receivable Specialist-
An established medical management company is seeking an experienced Account Representative for its business office located in Bingham Farms, MI. Company offers a casual environment, competitive pay, and great benefits, including 40 hours paid time off after your first year, 6 paid holidays, a choice of medical and dental plans, generous retirement package and more.
JOB SUMMARY Perform complex billing tasks involving account research and analysis, contract billing, refunds, adjustments and transfers. Responsibilities and Duties • Identify and analyze reasons for outstanding accounts, review payment and rejections from EOB / EOR and initiate appropriate action • Pull insurance payments from clearing house and payer portals • Contact insurance carriers regarding non-payment and/or improper payment of claims • Reviewing and appealing unpaid and denied claims • Identify patient accounts for collection action when accounts become delinquent or when unable to contact patient or responsible party • Track and resolve discrepancies, based on partial payment and contracts Qualifications and
Skills • Minimum of 1 to 2 years follow-up experience required • Detailed knowledge of insurance billing to include CPT and ICD-9 and/or ICD-10 coding, Medicare/Medicaid guidelines, HMO, PPO, and Capitation • Strong keyboard skills • Strong 10-key by touch • Excellent communication skills and customer service skills with ability to handle difficult phone calls diplomatically, patiently, and calmly • Excellent working knowledge of insurance carriers’ payment and timely filing regulations • Ability to work independently • Strong interpersonal and communications skills to be able to work successfully in a team-oriented environment. • High attention to detail and the ability to multi-task. • Ability to prioritize work load. • Well versed in navigating insurance providers’ websites
Benefits: Medical / Dental Benefits / 401K / PTO Job Type: Full Time
Please send your resume to: firstname.lastname@example.org
If you have questions, please call Ashlee at 248-590-2420
Billing Specialist Our busy medical office is looking for a full time, skilled billing specialist/medical biller to join our team. Our office provides emergency services in the greater Grand Rapids area.
Benefits begin immediately upon start date! Hourly wage begins at $19.00 per hour.
Benefits include Health and dental insurance, contribution to HSA account, 401(K) profit sharing, paid time off. No holidays or weekends!
Responsibilities for the billing specialist/medical biller include: • Answering phones • Charge entry • Medicare and BCBS billing • Medical appeals • Collections Requirements for the medical biller/billing specialist include: • Great customer service and phone etiquette • Strong data entry skills • Detail oriented • Knowledge of Microsoft Excel • 2 years of general or medical office experience preferred Those with previous Medicare billing and appeals processing experience are highly encouraged to apply.
Please send resume attention: CTW to email@example.com or fax to 616-235-1212
Sita Management Systems
A captive management company to several medical practices is looking to hire up to two medical billers. At least one experienced with 2 - 3 years of billing and one entry level. Competitive wages. Full time positions. Start immediately. EMR - eClinicalWorks and Epic. Experience with these EMRs a plus but not required and we will train.
Please email resumes to: Pmohey@sitamc.com