Medical Billing Specialist Job at McLaren Health Care, Pontiac, MI

WjVrci9YM29RVHJNVWxPQ2pJaXhuU0Z2bEE9PQ==
  • McLaren Health Care
  • Pontiac, MI

Job Description

Position Summary: Responsible for processing and submitting claims to insurance companies, verifying insurance coverage, and collecting, posting payments from patients and insurances. Verifies that transactions comply with department’s policies and procedures and all applicable government and insurer regulations.

Essential Functions and Responsibilities as Assigned:

  • Prepares bills and invoices for medical services.
  • Verifies accuracy of billing data and resolves errors.
  • Obtains insurance and financial information from patients.
  • Obtains medical authorization for payment from insurers.
  • Updates records with payments from insurance providers and patients.
  • Reviews failed, billed, and rejected claims to find resolutions.
  • Works with insurance companies to collect payment on medical bills and post to accounts.
  • May update Medicare and Medicaid cost and bad-debt reports, billing, collection and other related information.
  • May work with providers to identify the appropriate codes in selecting the patients’ care plans, associated orders for treatment and any co-morbid conditions. Provides continuous education on the appropriate documentation to support all codes captured by the providers in the electronic health record.
  • Answers patient questions regarding repayment methods and billing disputes.
  • Contacts individuals to reconcile accounts and may establish payment arrangements.
  • Monitors debts and unresolved patient accounts by filing claims,
  • May refer bills for collection and collaborates with designated collection agencies to collect seriously delinquent accounts.
  • May collect co-pays and other required fees at the time of patient admittance.
  • Acts as a liaison between insurance companies, health care providers and patients.
  • Performs other related duties as required and directed.

Qualifications:

Required:

  • High school diploma or GED.

Preferred:

  • One year of medical billing/coding experience.
  • Medical billing education.
  • Degree in health care administration, accounting, or related.
  • Billing or coding certification.

Additional Information

  • Schedule: Full-time
  • Requisition ID: 25005491
  • Daily Work Times: 8:30am-5:00pm
  • Hours Per Pay Period: 80
  • On Call: No
  • Weekends: No

Job Tags

Full time, Weekend work,

Similar Jobs

StepBeyond Solutions Inc

SMT Manufacturing Engineer Job at StepBeyond Solutions Inc

 ...Manufacturing Engineering. 510 years experience in electronic assembly or high-reliability manufacturing. Strong knowledge of SMT, reflow, and automated assembly systems. Demonstrated experience in process development, DFM, and capital equipment justification... 

Professional Partners Group

Bankruptcy Attorney Job at Professional Partners Group

 ...Bankruptcy Attorney Phoenix, AZ Salary: $125,000 and up depending on experience Schedule: Full-time, in-office (hybrid option after onboarding and firm integration) Overview: An established and reputable law firm in the Phoenix area is seeking an experienced... 

State of Indiana

Range Safety Officer Job at State of Indiana

 ...and economic benefits of Indianas fish, wildlife, and their habitats. Role Overview : This role serves as the Range Safety Officer for the Tri-County Fish & Wildlife Area Firearm and Archery Range. Responsibilities include supervision of range users and maintenance... 

Beth Israel Lahey Health

MRI Technologist Job at Beth Israel Lahey Health

 ...a wide range of highly technical imaging from several modalities, inpatient and outpatients imaging in Nuclear Medicine, Ultrasound, MRI, CAT SCAN, Breast Imaging, Interventional/Angiography, Vascular Lab and General Diagnostic. MRI Department in Radiology has 7 MRI scanners... 

CDM

Yesero 1 Job at CDM

 ...prepare materiales de enlucido / EIFS. Transporte y transferencia de material. Coordinar la puesta en escena del material. Mida, corte e instale el sustrato EIFS. Instale mallas, nivelando capas y acabados para EIFS. Instale sistemas de yeso de m...