Performs duties necessary to facilitate payment from third-party payers, including billing, claim status follow-up, collections, payment posting, reimbursement calculation, and correspondence handling. Works with multiple entities and revenue cycle systems to support timely and accurate reimbursement while maintaining compliance with payer, state, federal, and HIPAA regulations.
- Reviews claims for payer compliance and billing accuracy
- Resolves billing issues to improve reimbursement and reduce outstanding receivables
- Processes correspondence, rejections, adjustments, and refunds
- Works with contracts, government regulations, and multiple internal/external systems
- Verifies insurance eligibility using online systems
Requirements & Qualifications
Required / Preferred Qualifications
- High school diploma or GED required
- Associate degree in business or finance preferred, or equivalent experience in medical billing, receivables, or collections
- Strong computer and general office equipment skills
- Knowledge of medical terminology, ICD-10, CPT-4, national billing forms, third-party payers, managed care, reimbursement, and regulatory compliance preferred
- Ability to type 45 words per minute
- Effective communication skills with patients, customers, and coworkers
- Ability to quickly adapt communication style based on the situation
- Must pass EUPA for Epic applications within 90 days
Additional Details
- Must be able to perform work requiring extended computer use and close attention to detail
- Physical demands include walking, standing, stooping, bending, sitting, and light lifting
Location
Michigan, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago