10/02/2019

Description:  Private Rheumatology practice is seeking an experienced medical biller. Candidate must be knowledgeable in all aspects of medical insurance billing. Experience with infusion billing and EPIC EHR a plus. This position is responsible for posting, billing and collections of accounts receivables.

Job duties include but may not be limited to: Perform all aspects of billing various insurance companies either electronically or by paper (BCBSM, MR, MRADV, Commercial, HMO's, MD) Review and complete charge entry before transmitting claims Process secondary claims Follow-up of denials and rejections Post insurance and patient payments Establish patient payment plans when necessary Follow up on delinquent accounts Run necessary reports monthly, quarterly etc. Verify proper allowed amount is being received and adjust fee schedule as needed Answer question from patients, staff and insurance company

Various clerical duties: Candidate should have good written and verbal communication skills, be detailed oriented, accurate typing skills and strong customer service skills. Experienced in using insurance web sites: Navinet, Csnap, Web Denis, Availity ,

Optum Requirement: Two years medical billing in office setting Computer, EMR, one year This is a full time position Monday - Thursday (occasional Fridays) 8am-4:30pm no nights or weekends.

Benefits: Health Ins, 401K,Paid holidays and vacation, sick time.

Interested candidates should send their resume to: jjudyz@aol.com

09/10/2019

Full-Time Medical Billing Position

Qualifications:

• Education equivalent to graduation from high school with a minimum two years of experience in medical billing to third-party payers.
• Ability to plan, organize and prioritize work on a daily basis. Excellent written and communication skills.
• Detail oriented. Position Requirements:
• Knowledge of billing procedures for third-party payers.
• Knowledge of medical terminology, CPT and ICD-10.
• Account Follow-Up and Denials Management Skills including accessing payer websites.
• Work aging reports to ensure timely follow-up of unpaid claims and timely follow-up on claims that have been underpaid or denied.

Benefits: We offer competitive wages, PTO, 401K, medical and dental insurance, short and long term disability, and a 4 day work week Monday through Thursday.

Contact: Please send cover letter and resume to nklein@advancedpracticemgmt.com

07/23/2019

This is for a full-time 40 hr/wk position working Monday to Friday from 8:00am to 5:00pm in Cascade, MI.

JOB OBJECTIVE SUMMARY: The Billing Integrity Auditor is a key associate at Hope Network whose primary responsibilities include: Responsible for the coordination and auditing of billable services within Hope Network residential facilities and possibly clinical services where appropriate. This role will detect coding and billing errors related to services provided and ensure that audits are completed timely and according to policy.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description is in no way states or implies that these are the only duties to be performed by this employee.

The employee is required to follow any other instructions and to perform any other duties as assigned by management.

1. Utilizes data analytics to complete assigned special projects. Responds to special projects regarding data integrity and data validity related to electronic medical records or Microsoft Dynamics SL.

2. Performs quarterly internal audits of claims billed within residential programs and possibly clinical services where appropriate. Verifies appropriate billing related to coding, payment posting and documentation of services according to Auditing Policy and organizational standards.

3. Collaborates with department in the development and management of yearly audit schedule. Provides continuous updates to schedule throughout the lifespan of individual audits.

4. Researches, recommends and assists in development and ongoing maintenance of auditing tools for use across the network.

5. Analyzes data to identify trends in billed claims. Utilizes data from audits to prepare reports, statistics and presentations for presentation to managers, directors and executives across the network. Collaborates in the development and issuance of narrative reports to meet accreditation requirements

6. Collaborates with team in the review of procedure codes being utilized to assure compliance and accuracy.

7. Provides assistance in the completion of the audit process as needed and required.

8. Recommends changes to auditing process including items audited.

9. Maintains strict confidentiality in accordance with HIPAA policies.

10. Regular and predictable attendance is an essential requirement of this position.

Educational / Talent Requirements:

1. Associate’s Degree or equivalent experience.

2. Demonstrated competency in knowledge, interpretation and application of documentation, coding and billing rules/regulations. A Certified Coding Certificate or Registered Health Information Technician Certificate is required.

3. Community Mental Health, Rehab, or clinical billing, funding or auditing preferred.

4. Ability to communicate clearly in written and verbal form.

5. Demonstrated ability to use word processing, spreadsheet and computerized billing programs.

6. Ability to interact effectively and maintain positive relationships with internal and external contacts including, referral sources, funders and other designated individuals.

7. Highly Organized, diligent and detail oriented.

Work Experience Requirements:

1. A minimum of two years of related work experience.

2. Ability to work independently or as part of a team.

3. Basic level of understand of billing and/or auditing functions.

Please send cover letter and resume to attention of Esmeralda Perry at EPerry@hopenetwork.org or Careers@hopenetwork.org .

07/23/2019

Looking for part time experienced billing professional, preferably with credentialing skills.

Work maybe performed from home. Hours are flexible and pay competitive.

Opening available immediately

07/01/2019

Full-time, first shift position working 8:00am to 4:30pm, Monday to Friday working in Cascade Township, MI.

JOB OBJECTIVE SUMMARY: The Medical Billing Specialist a key associate at Hope Network whose primary responsibilities include:

Provides billing and collection services.

This position needs a working knowledge and experience billing Auto No-fault, BCBS, Commercial, Medicare/Medicaid, Workers Compensation, Private payers, and Community Mental Health payers.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee is required to follow any other instructions and to perform any other duties as assigned.

1. Regular and predictable attendance is an essential requirement of this position.

2. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

3. Following up on unpaid claims within payer/funder billing cycle timeframe.

4. Review explanation of benefits for accuracy of payments, adjustments and patient responsibility.

5. Follow up with insurance companies/funding sources regarding any discrepancy in payments if necessary.

6. Identifying and billing secondary or tertiary insurances.

7. Researching and appealing denied claims.

8. Write up account adjustments for approval.

9. Ensure proper documentation is sent with each claim when required.

10. Utilize specific knowledge regarding billing and reimbursement guidelines to expedite payment for services.

11. Provide assistance to staff from all locations with billing and collections inquiries.

12. Utilize systems and procedures to organize the billing office for maximum efficiencies.

13. Works all outstanding accounts over 60 days old for collectability.

14. Complete all other designated projects relevant to the position description.

15. Escalate any billing, collection or system related issues with payer/funders to leadership.

16. Attend regular department/payer meetings.

17. Other duties, as required or assigned.

Educational / Talent Requirements:

1. High school diploma or equivalent is required.

2. Relevant certification preferred (CCS-P, CPC, CPB) or Associate’s degree in related area of study.

3. Demonstrated ability to communicate in both written and verbal format to meet position responsibilities.

4. Demonstrated ability to use word processing, spreadsheet and computerized billing programs including Word/Excel.

5. Data entry skills equivalent to typing skills at 40 words per minute.

6. Familiarity with other office equipment such as calculators, fax and photocopying equipment.

7. Ability to plan, organize and prioritize work on a daily basis.

8. Excellent written and verbal communication skills required.

9. Excellent organizational and interpersonal skills.

Work Experience Requirements:

1. 2 years relevant medical billing and collection experience.

2. Experience in collections, accounts receivable, data processing and business office procedures.

3. Demonstrated knowledge of medical billing and reimbursement.

4. Demonstrated knowledge in the accounts receivable monitoring process (aging of accounts 0-30, 30-60, 60-90 days).

5. Ability to interact effectively with individuals, employees, referral sources, vendors and other designated individuals.

6. Ability to travel to other Hope Network sites when needed and requested; valid driver’s license with acceptable driving record.

Please send cover letter and resume to attention of Esmeralda Perry at EPerry@hopenetwork.org or Careers@hopenetwork.org .

06/19/2019

Under limited supervision, uses intermediate skills obtained through experience and training to bill third party insurance companies and patients for medical services received. Bills claims, posts charges and payments, verifies insurance coverage, and follows up on rejected or unpaid claims. Regularly assists patients and staff with billing questions and concerns providing professional, efficient, and customer focused service in support of the “Care, No Matter What” mission.

Essential Duties and Responsibilities: Perform insurance eligibility, benefit verification and pre-authorization. Enter charges from health centers for all PPMI reproductive health care services. Process and submit medical claims to third party insurance carriers either electronically or on paper. Monitor claims for missing information, authorization, coding and other errors. Resolve edits and unpaid claims. Process rejected claims by correcting billing errors and re-submitting claims to third party payers in a timely fashion. Follow up on delinquent billings with patients and third party payers. Post payments and adjustments for third party and self-pay patient accounts. Answer billing phone line, monitor voice mail, and assist staff and patients with questions. Educate clients about services, funding sources and fees. Maintain remittance advice records for all third party payers. Resolve credit balances and process patient refunds in a timely fashion according to departmental policy. Process bad debt write-offs according to departmental policy. Monitor, troubleshoot, and suggest system improvements related to Practice Management system and clearinghouse software. Review and update CPT & ICD 10 codes and encounter forms as needed. Maintain currency in effective billing and collection processes and procedures. Operate standard office equipment and uses required software applications. Perform other duties and responsibilities as assigned.

Knowledge, Skills, and Abilities: Fundamental concepts, practices and procedures of insurance billing and collections. ICD 10 and CPT coding. Explanation of Benefit statements. Commercial and Medicaid insurance plan formats and operations. HIPAA regulations. Operating standard office equipment and using required software applications, including Microsoft Office products, practice management and electronic medical record applications, clearinghouse systems, and payer websites. Maintain confidentiality and exercise sensitivity and a nonjudgmental manner in dealing with sexuality and sensitive client issues. Maintain and adhere to all OSHA, HIPAA and PPMI policies and guidelines. Partner with other functional areas to accomplish objectives. Read, interpret, analyze and apply information from billing systems. Organize, manage and track multiple detailed tasks and assignments with frequently changing priorities in a fast-paced work environment. Communicate effectively, both orally and in writing. Work independently as well as collaboratively within a team environment. Handle stressful situations and provide a high level of customer service in a calm and professional manner. Establish and maintain effective working relationships at all levels of the organization.

Educational/Previous Experience Requirements: Minimum Degree Required: High School Diploma At least three years of working experience in a health care billing/collections department. Any equivalent combination of experience, education, and/or training approved by Human Resources. Previous experience with billing Blue Cross Blue Shield as preferred.

Planned Parenthood of Michigan is an Equal Opportunity Employer committed to a diverse workplace.

To apply, email ppmirecruitment@ppmi.org

06/18/2019

The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation.

• CDI Specialist role ensures completeness of the clinical documentation used for reporting professional services through interaction with providers and clinical staff.
• Monitors accuracy of documentation, including analysis of diagnostic and procedure codes, in accordance with regulatory guidelines.
• Identifies opportunities for documentation improvement and provides ongoing education to providers and coding staff.
• Ensures the accuracy and completeness of clinical documentation used for reporting professional services in the ambulatory setting.
• Improves the overall quality, integrity and completeness of the ambulatory clinical documentation by performing chart audits/reviews to verify appropriate ICD10 and CPT codes are assigned, and documentation requirement are met.
• Conducts meetings with the providers, clinical staff and coding staff to review documentation issues and improvement opportunities.
• Facilitates modification to the ambulatory clinical documentation to ensure appropriate reimbursement is received for the level of service rendered to all patients.
• Educates all members of the patient care team regarding clinical documentation opportunities, changes to clinical documentation guidelines, coding and reimbursement issues, as well as performance improvement methodologies.
• Conducts follow up reviews of ambulatory clinical documentation to ensure points of clarification have been recorded in the medical record.
• Uses interpersonal skills to discuss clinical documentation issues and works effectively with all levels of internal personnel such as coders, physicians, and other health professionals.
• Articulates the program to physicians and other health care professionals to educate and teach ambulatory clinical documentation requirements.
• Demonstrates knowledge of coding guidelines, documentation opportunities and clinical documentation requirements.

Required Associate’s Degree in Health Information Management or related field Certified Clinical Documentation Specialist (CCDS) or CCDS-O (outpatient), Certified Documentation Expert Outpatient (CDEO), Certified Professional Medical Auditor (CPMA) or Registered Health Information Technician (RHIT)

Maintenance of continuing education requirements, If qualified as an RHIT, must have at least 2 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing If qualified as a CCDS, CCDS-O, CDEO or CPMA, must have at least 3 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing

Preferred: Bachelor’s Degree in Health Information Management or related field. Experience with ambulatory clinical documentation auditing and improvement.

Apply at: https://mclarenhlth.taleo.net/careersection/mclaren_internal_career_section/jobsearch.ftl Nicotine Testing - To provide a safe, healthy environment for our patients, employees and visitors, as of February 1, 2013 McLaren no longer hires individuals who use nicotine and will conduct nicotine testing during the pre-employment process. If the test is positive the offer will be rescinded. Individuals who test positive may re-apply for employment after six months.

05/31/2019

Please submit all applications through our website at www.ihacares.com 

POSITION DESCRIPTION: Under the guidance of the Compliance & Coding Manger, has primary responsibility for serving as IHA's resource for Records Management, Policies, and Compliance Education. This role provides direction and guidance on records request, general compliance education and tracking IHA's Compliance policies and education work. Responsible for identifying, assessing, and recommending corrections for all areas of compliance policies, general compliance education and records management. Assures adherence to all government regulations and accrediting body standards, organizes and implements policies and procedures necessary to support IHA structures and processes; This position will serve as the subject matter expert on IHA Records Management.

ESSENTIAL JOB FUNCTIONS:

1. Develops, coordinates, and administers facility-wide system for records management, policy management and performs routine audits of record systems as included in IHA's Risk Management Audit Plan.

2. Collects, evaluates and distributes relevant data concerning compliance and risk education. Performs proactive analysis of data and follows up to close gaps in education.

3. Reviews policies, processes to formulate potential for organizational changes, and makes recommendations for approval by Compliance & Coding Manager. Informs directors of service and department heads regarding occurrences, issues, findings and records management recommendations; provides feedback to directors to gain compliance with IHA standards.

4. Participates on committees directed towards promoting records work and serves as IHA liaison for all records request questions.

5. Provides educational classes and job aides to office staff for processing records requests in alignment with IHA Standards for Records Management.

6. Performs audits of IHA standards, record and education tracking systems. Monitors and manages education-tracking files for IHA classes, meeting presentations and Health Stream coursework.

7. Promotes accurate and complete medical record integrity. Directs and coordinates non-risk related release of records and information in response to subpoenas, court orders, attorney requests, state and federal agency investigations and other inquiries on records legal questions and depositions.

8. Works collaboratively with the Risk Manager and Director of Compliance and Risk Management to screen questions for risk case related items. Forwards all risk related items to Risk Manager for response.

9. Receives, records related help desk events and responds in a timely manner to provide direction and guidance.

10. Retains knowledge of current IHA events to recommend appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences.

11. Develops and maintains up to date educational materials for Records Management.

12. Performs general Compliance Group Education for staff utilizing effective training methods and job aides.

13. Ensures the quality of IHA medical records by verifying their completeness, accuracy, and proper entry into computer systems.

14. Manages IHA Compliance Policies and Forms, ensures they are up-to-date and saved according to IHA standards for storage, format and archiving.

15. Manages electronic information database for tracking and analyzing data as required in IHA's annual Audit Plan and as directed for Compliance Matters which arise and require analysis. Utilizes data from trend analysis and identifies opportunities to strengthen internal processes and compliance with IHA standards.

16. Maintains knowledge and complies with applicable healthcare laws, regulations and standards concerning patient care. Maintains awareness of legislative activities that may affect risk management programs.

17. Performs other duties as assigned.

ESSENTIAL QUALIFICATIONS:

EDUCATION: Bachelor's Degree or equivalent combination of relevant education and experience.

CREDENTIALS/LICENSURE: AHIMA Certified RHIT- Registered Health Information Technician / or Compliance Certification HCCA.

MINIMUM EXPERIENCE: 5 or more years' experience in the following areas: Compliance, HIPAA, healthcare risk management, regulatory standards, records management and retention.

POSITION REQUIREMENTS (ABILITIES & SKILLS):

1. Knowledge of federal, state, and insurance company regulations and contract requirements affecting compliance in a healthcare setting; understands managed care and insurance practices.

2. Understanding of general coding principals, insurance claims and billing process; HMO, PPO, TPA and commercial insurance types; fee schedules and pricing.

3. Well-developed understanding and/or hands on experience with office processes, procedures and workflows.

4. Knowledge of Compliance plan and auditing standards, organization policies and procedures.

5. Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, Microsoft Word and Excel, Point, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job including EPM and EHR systems.

6. Proficiency in planning, organizing and prioritizing workloads.

7. Ability to develop and maintain effective professional working relationships with all levels within IHA as well as outside contacts.

8. Effective, professional communication skills, verbal, written and during group presentations.

9. Ability to coordinate activities and work independently to complete projects in a timely manner requiring highly complex analysis.

10. Works collaboratively in a team-oriented environment demonstrating a courteous, professional and friendly demeanor.

11. High level of organizational and time management skills with ability to effectively juggle multiple priorities and time constraints in a fast-paced environment.

12. Exercise sound judgment and problem-solving skills.

13. Ability to maintain any organizational information in a confidential manner.

14. Successful completion of IHA competency-based program within introductory and training period.

15. Ability to work overtime hours as scheduled.

05/24/2019

Job Description Job Description Under direct supervision of Billing/Practice Manager. The qualified candidate is responsible for detailed analysis of accounts receivable

Typical Duties and Responsibilities:

• Performs all necessary follow up procedures to expedite the payment of insurance & patient accounts.
• Coding & data entry of surgical cases
• Effectively utilize automated tools ( Web Denis, C-Snap, HealthFusion, Epic, Citrix)
• Review & perform all necessary follow up action from companies.
• Experience dealing with insurance companies.
• Initiate the appeal process of denied claims.
• Provides feedback to management & participates in department goal setting.
• Audit work for accuracy.
• Understands & attains assigned daily & monthly goals including the A/R aging reports.
• Other duties assigned by management.
• Experience with CPT & ICD-10 coding.

Minimum Work Experience: 3-5 years of medical billing/coding experience required. PC skills are required. Strong knowledge of insurance company rules specifically Medicare, BCBS & Medicaid HMO's. Strong knowledge of modifier usage.

Education: High School Diploma CPC certified is a PLUS!!

Job Type: Full-time

Please send resume to barb.stull@footandanklesemi.com

05/14/2019

Harbor Hall, Inc. is a substance abuse treatment facility in Norther Michigan.

We are looking for a part-time, qualified medical insurance biller and coder. The right candidate must be a team player, have at least 2 years experience billing and coding in a medical office and be familiar with HIPAA and privacy laws. Strong communication skills is pertinent to this job.

This person will be preparing, reviewing, and transmitting claims using billing software, including electronic and paper claims. Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems insurance companies and patient bills.

Resumes can be e-mailed to hollyk@harborhall.com or mailed to Harbor Hall, Inc. Attn: Holly 704 Emmet Street Petoskey, MI 49770

05/01/2019

We are a busy Southfield Cardiology Medical Practice seeking a Senior part-time Medical Biller.

• This person should be self-motivated
• Must have working knowledge of cardiology billing
• Must be able to work independently and in a team
• Computer/technology savvy
• Cardiology coding
• Billing
• Credentialling
• Accounts Receivable and follow-up

Please contact via email at alkasolutionsllc@gmail.com

03/28/2019

Primary responsibilities include assisting in the establishment, implementation and maintenance of policies and procedures for reimbursements/billing, recording and upkeep of billings and accounts receivable for self-pay and all third-party reimbursements of professional services.

Reimbursements Administrator will implement processes affecting reimbursement and develop strategies related to resolving reimbursement issues.

EXPERIENCE:

• Three years’ experience in medical billings and third-party reimbursement experience.
• Experience in a medical records supervisory role preferred.
• Experience with PCE, MHWIN and CHAMPS preferred.

Apply through INDEED: https://www.indeed.com/jobs?q=southwest%20Solutions&l=Detroit&vjk=09db2323efae4563

03/12/2019

Michigan Orthopedic Center is seeking a motivated and energetic Medical Biller and Coder (full-time).

This individual works closely with the providers and staff with all areas of orthopedic billing and coding.

Within 90 days, an employee is expected to independently:

- Process electronic and paper claims for inpatient and outpatient services, including procedure and diagnostic code assignment, creation and submission of claims, unpaid accounts follow up, denial management and payment posting activities

- Work cohesively with patients, staff, providers and third party payers in the submission and management of accounts receivable

- Provide an excellent patient experience in all areas of accounts receivable Applicants must provide stellar patient service, be highly organized, be able to multi-task, and enjoy working in a collaborative team environment.

The ideal candidate represents the practice in a professional, service oriented manner that supports the overall mission. At least one year as a medical biller and coder or equivalent is required; prior experience with electronic health records in a medical office is required. Prior experience in an orthopedic setting is preferred.

Please submit a letter of interest and current resume to ejias@michiganortho.com

03/12/2019

Cloud 9 Medical Solutions is a growing Michigan based medical billing company specializing in billing for private practices. We are expanding and seeking a part time medical biller that can work independently from home yet collaborate with team members as needed.

This part time position may grow into full time as we grow. Candidate must have prior medical billing experience. We will teach you our system, methods and workflow. You will work with a great team of professionals.

Responsibilities will include:

• Interacting with the medical practice staff and Cloud 9 Team
• Entering and reviewing charges
• Entering personal and insurance payments
• Working unpaid and rejected claims
• Follow-up on open accounts receivable
• Respond to patient billing questions

Job Type: Part-time with the possibility of full time in the future.

Please send cover letter and resume to: bmiller@cloud9medicalsolutions.com

03/04/2019

We are looking for a full-time medical biller in our office in Troy, Michigan.

Must have strong computer/EMR skills and be detailed oriented, experience in healthcare billing required. Position includes claim billing, EOB posting, A/R reduction, claim denials and other tasks as assigned.

Some duties: •Collecting the information required to create a claim •Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid •Reviewing and appealing unpaid and denied claims •Handling collections on unpaid accounts •Managing the facilities Accounts Receivable reports - posting payments both patient and insurance •Answering patients billing questions •Other tasks as assigned.

Please submit Resume to the HR Manager at astepaniak@arcturushealthcare.com

02/27/2019

Experienced full-time collections specialist/biller for busy independent OB\GYN office located in Mt Pleasant, MI.

Patient accounts, statements, obtain surgery authorizations, set up patient payment plans, work patient Accounts Receivable.  OB/GYN billing experience preferred but not required.

Please send resume to:  Office Manager 1201 South Drive Ste 220 Mt Pleasant, MI 48858 or via email to martins@wmcpc.com

02/20/2019

Brighton Family Physicians is a primary care office with four doctors, we are a PCMH and a CPC+ track 1 practice.  

Position Includes:

• Full time
• Benefits

Requirements:

• 2 years experience
• Self-motivated, self-directed coder, work independently and as a team
• Must be versed in all aspects of billing, including charge entry, posting, and follow up.
• Must have EDI experience and be able to apply industry standards where needed
• Great communication skills, both written and verbal
• Must have working knowledge of Health measures and reporting codes
• Must be willing to work in reception when and where needed

Please send resume to nancybyrd61@yahoo.com