Medical Insurance Biller

Submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid, verifying CPT codes, modifiers, and documentation before transmission. Resolve denials and rejections by preparing appeals, communicating with payers, and resubmitting claims to maintain revenue flow. Manage insurance authorizations and reauthorizations, tracking expiration dates and unit utilization to ensure uninterrupted service delivery. Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies. Monitor aging reports, follow up on outstanding claims, and provide regular reporting on collections and claim status. Verify patient coverage and benefits at intake, gather clinical documentation for payer records requests, and communicate patient responsibility clearly to families. Full-time role with 1+ years of medical billing experience required; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, and Michigan Medicaid is a strong plus.