Corporate Medical Billing Specialist
$39,520–$52,000 year
On-siteBrighton, Michigan, United States
Job Summary
Review and verify patient account information against payer program specifications, process invoices, and answer questions regarding payment and reimbursement. Serve as a key point of contact for assigned centers to troubleshoot and resolve billing issues. Collect billing information, resolve patient inquiries, and process regular monthly invoices while submitting claims for payment. Reconcile weekly or mid-month census data and report errors in insurance or demographic information. Review insurance EOBs, initiate appeals processes when necessary, and prepare accompanying medical documentation. Maintain knowledge of Federal, State, and local billing regulations to ensure correct payments and adjustments. This in-person role at our corporate facility in Brighton, Michigan, supports the EPIC team.
Required Qualifications
- High school diploma
- 3+ years of related billing experience, including Managed Care, Medicare, and/or Medicaid billing
- Must be detail oriented
- Must be able to manage multiple accounts and tasks effectively
- Must be able to maintain the highest standards of integrity and confidentiality regarding patient information and records
- Basic understanding of UB-04, 1500, CPT, and ICD-9 Coding
- Knowledge of hospital and/or medical billing and insurance claim filing
- Knowledge of medical terminology, insurance plans and/or Medicare procedures, and diagnosis coding
Desired Qualifications
- Associate's or Bachelor's Degree in a related field
- hospital billing and insurance claim processing experience
- Knowledgeable of insurance guidelines, medical terminology, and HIPAA compliance guidelines
- Strong computer skills, including experience with electronic medical record systems
- Familiarity with medical insurance manual claims process and claims appeal process
- Knowledge of third party billing and collections
- Knowledge of medical terminology, insurance plans and/or Medicare procedures, and diagnosis coding
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