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Billing Insurance Jobs in Michigan (NOW HIRING)

Billing Representative

Farmington, MI ยท On-site

$17.50 - $23/hr

Maintains working knowledge of state and federal laws related to insurance contracts and payer billing timelines * Investigates and addresses overpayment and underpayment accounts to optimize ...

Biller

Novi, MI ยท On-site

$17.75 - $22.50/hr

... on delinquent Insurance Reports 5. Knowledge of 2023 AMA E&M Coding Updates 6. Keeping up with recent coding/billing rule changes 7. Assist front desk staff with any insurance questions 8. Be ...

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Strong understanding of medical billing, insurance reimbursement, fee schedules, and collections * Experience communicating with attorneys, insurance carriers, TPAs, and employer-based claims

Medical Biller

Southfield, MI

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI ยท On-site

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI ยท On-site

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 2 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI ยท On-site

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

Medical Biller

Southfield, MI ยท On-site

$16.75 - $21.50/hr

Entering insurance payments * Reconciling EOB's * Tracking accounts receivables and pursing all outstanding balances * 3 years or more experience in medical billing * Knowledge of ICD10 and CPT ...

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Showing results 1-20

Billing Insurance information

What are the key skills and qualifications needed to thrive as a Billing Insurance Specialist, and why are they important?

To thrive as a Billing Insurance Specialist, you need a solid understanding of medical billing codes, insurance policies, and claims processing, typically supported by a certificate in medical billing or healthcare administration. Familiarity with billing software (such as Epic, Kareo, or Medisoft) and electronic health records is commonly required. Attention to detail, strong organizational skills, and effective communication set top performers apart in this role. These competencies are crucial for ensuring accurate claim submissions, minimizing denials, and maintaining steady revenue flow for healthcare organizations.

What is the difference between Billing Insurance vs Claims Processor?

AspectBilling InsuranceClaims Processor
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification may be required
Work EnvironmentMedical offices, insurance companiesInsurance companies, healthcare facilities
Primary ResponsibilitiesGenerate bills, verify insurance coverageReview and process insurance claims
Industry UsageHealthcare, insuranceInsurance, healthcare

Billing Insurance focuses on creating and managing patient bills and verifying coverage, while Claims Processors handle reviewing and processing insurance claims for reimbursement. Both roles require similar credentials and work in related environments, but their core tasks differ within the insurance and healthcare industries.

What does a Billing Insurance specialist do?

A Billing Insurance specialist is responsible for managing and processing insurance claims for healthcare providers or organizations. They review patient medical records, prepare and submit insurance claims, and follow up with insurance companies to ensure timely and accurate reimbursement. Additionally, they address claim denials, resolve discrepancies, and often communicate with patients regarding their insurance coverage. This role requires attention to detail, knowledge of medical coding, and familiarity with insurance policies and regulations.

What are some common challenges faced by professionals in Billing Insurance, and how can they be effectively managed?

Professionals in Billing Insurance often encounter challenges such as navigating complex insurance policies, handling claim denials, and maintaining up-to-date knowledge of changing regulations. Effective management of these issues typically involves strong attention to detail, proactive communication with both patients and insurance providers, and ongoing education through training or industry updates. Many organizations also encourage collaboration with other departments, such as patient services and coding specialists, to resolve discrepancies and ensure accurate billing. Staying organized and adaptable is key to success in this dynamic environment.
What cities in Michigan are hiring for Billing Insurance jobs? Cities in Michigan with the most Billing Insurance job openings:

Billing Representative

Healthrise

Farmington, MI โ€ข On-site

$17.50 - $23/hr

Full-time

Posted 29 days ago


Job description

Description:

The Billing Representative within Revenue Cycle Management performs day-to-day billing activities for Hospital (HB) and/or Medical Group (PB) claims, including claim generation and transmission. This role is responsible for primary, secondary, and tertiary billing, resolving claim edits and rejections, and ensuring claims are transmitted in compliance with payer guidelines. The Billing Representative serves as part of the Billing team to ensure timely, accurate, and compliant billing operations.


Duties and Responsibilities
  • Demonstrates knowledge of and commitment to the Healthrise Core Values
  • Performs daily billing activities, including resolving billing edits and rejected claims to ensure accurate and timely claim submission
  • Identifies routine billing issues and resolves or escalates them as appropriate
  • Maintains working knowledge of state and federal laws related to insurance contracts and payer billing timelines
  • Investigates and addresses overpayment and underpayment accounts to optimize reimbursement
  • Applies payer rules, contracts, schedules, and related data to ensure claims are billed accurately and timely
  • Researches payer trends and provides feedback to improve billing accuracy and operational efficiency
  • Tracks and reports denial types and root causes, recommending process improvements
  • Analyzes, categorizes, and resolves claim rejections from commercial, government, and managed care payers
  • Documents all actions and follow-up activities in the patient accounting system
  • Responds to patient and payer inquiries or refers them appropriately
  • Prepares and submits reports documenting billing trends, outcomes, and claim activity
  • Interprets data, draws conclusions, and reviews findings with supervisor
  • Cross-trains in various functions to enhance service delivery
  • Maintains knowledge of applicable federal, state, and local laws and regulations
  • Performs other duties as assigned
Requirements:

Required

  • High school diploma or Associate degree in Accounting, Business Administration, or a related field
  • Minimum of two (2) to three (3) years of experience in revenue cycle medical billing, insurance follow-up, and denial management within one of the following settings:
    • Hospital or clinic
    • Health insurance company or managed care organization
    • Healthcare financial services environment
  • Equivalent combination of education and experience may be considered
  • Experience in a complex, multi-site healthcare system preferred
  • Excellent written and verbal communication skills
  • Strong organizational and time-management skills with high attention to detail and accuracy
  • Strong interpersonal and customer service skills
  • Basic proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel)
  • Completion of regulatory and mandatory certifications preferred
  • Comfortable working in a collaborative, shared-leadership environment
  • Previous experience with Global Partner vendors preferred
  • Experience using Epic
  • Familiarity with CPT, ICD-10, and HCPCS coding
  • Strong problem-solving skills
  • Ability to work independently, meet deadlines, and maintain high attention to detail
Preferred
  • Certified Professional Biller (CPB), Certified Medical Reimbursement Specialist (CMRS), or equivalent certification
Physical Demands and Work Environment
  • Work Environment: This position operates in a professional home environment and routinely uses standard office equipment, including computers and phones
  • Physical Demands: This role is primarily sedentary and requires regular use of a keyboard, mouse, and other devices for typing, clicking, and navigating software systems