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Job description
Medical Billing SpecialistWe are looking for a Medical Billing Specialist to support a healthcare organization in Rochester Hills, Michigan on a Contract basis. This role focuses on accurate claim follow-up, insurance verification, payment review, and timely resolution of billing issues across multiple payers. The ideal candidate brings hands-on medical billing experience, works well independently, and communicates effectively with both patients and insurance representatives.Responsibilities:Review payer explanations of benefits to confirm correct claim reimbursement and flag recurring payment issues or denial patterns for leadership awareness.Verify insurance coverage and authorization details before billing activity to help reduce avoidable claim delays and rejections.Investigate front-end denials through payer portals and direct payer communication, update claim information as needed, and submit corrected claims promptly.Re-check insurance eligibility using available verification tools, redirect claims to the appropriate payer when necessary, and bill patients when coverage does not apply.Handle payer correspondence, account adjustments, and refund activity with a high level of accuracy and within required timelines.Monitor payer notices, policy revisions, and billing regulation updates to maintain compliant and current billing practices.Recommend workflow enhancements by identifying trends, recurring obstacles, and opportunities to improve billing efficiency.Provide timely, thorough responses to patient billing questions and support account resolution efforts as needed.
Worksite address
rochester, MI, 48309, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.