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Cbcs Insurance Jobs in Michigan (NOW HIRING)

Nurse

Novi, MI · On-site

... insurance plans. Certificate of Completion from accredited Medical Assistance School and/or Degree ... Perform and run CBCs, Urinalysis, Vision and Hearing Screening, Pulmonary Function Tests, TB Tests

Nurse

Novi, MI · On-site

... insurance plans. Certificate of Completion from accredited Medical Assistance School and/or Degree ... run CBCs, Urinalysis, Vision and Hearing Screening, Pulmonary Function Tests, TB Tests • ...

Nurse

Novi, MI · On-site

... insurance plans. Certificate of Completion from accredited Medical Assistance School and/or Degree ... run CBCs, Urinalysis, Vision and Hearing Screening, Pulmonary Function Tests, TB Tests • ...

ADVANCED PRACTICE PROVIDER

Baldwin, MI · On-site

$96K - $125K/yr

... Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... Orders, performs, or interprets the results of diagnostic tests such as complete blood counts (CBCs ...

... Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... Orders, performs, or interprets the results of diagnostic tests such as complete blood counts (CBCs ...

ADVANCED PRACTICE PROVIDER

Baldwin, MI · On-site

$96K - $125K/yr

Health Insurance * Vision Insurance * Life Insurance * Health Savings Account * Tuition ... Orders, performs, or interprets the results of diagnostic tests such as complete blood counts (CBCs ...

ADVANCED PRACTICE PROVIDER

Baldwin, MI

$96K - $125K/yr

Paid Time Off Paid Holidays 401(k) Matching Health Insurance Vision Insurance Life Insurance Health ... Orders, performs, or interprets the results of diagnostic tests such as complete blood counts (CBCs ...

... Insurance • Vision Insurance • Life Insurance • Health Savings Account • Tuition ... Orders, performs, or interprets the results of diagnostic tests such as complete blood counts (CBCs ...

Cbcs Insurance information

What is the difference between Cbcs Insurance vs Insurance Agent?

AspectCbcs InsuranceInsurance Agent
CertificationsTypically requires state licensing and specific insurance certificationsRequires state licensing; certifications vary by insurer
Work EnvironmentOffice-based, customer service, policy sales, claims processingFieldwork, client meetings, policy sales, customer support
Employer & Industry UsageInsurance companies, brokerages, agenciesIndependent agents, agencies, insurance companies

Both Cbcs Insurance and Insurance Agents require licensing and work within the insurance industry. Cbcs Insurance often refers to a specific company or certification, focusing on customer service and claims, while Insurance Agents typically sell policies directly to clients. The roles overlap in certifications and work environment but differ in job focus and employer settings.

Can I get a job with a Cbcs Insurance certification?

A Cbcs Insurance certification can enhance your qualifications for insurance-related roles, such as insurance agent or claims adjuster, by demonstrating knowledge of insurance policies and industry standards. Employers often value certifications as proof of expertise, but job eligibility also depends on experience, licensing requirements, and state regulations. Having the certification can improve your chances of securing a position in the insurance field.

What cities in Michigan are hiring for Cbcs Insurance jobs?

Cities in Michigan with the most Cbcs Insurance job openings:

Infographic showing various Cbcs Insurance job openings in Michigan as of June 2026, with employment types broken down into 1% As Needed, 89% Full Time, 4% Part Time, and 6% Contract. Highlights an 78% Physical, 3% Hybrid, and 19% Remote job distribution.

Insurance Billing Professional (hybrid), full time, days

Holland, MI • On-site

$17.39 - $24.34/hr

Full-time

Posted 12 days ago


Holland Hospital rating

6.5

Company rating: 6.5 out of 10

Based on 33 frontline employees who took The Breakroom Quiz


Job description

CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.
The Insurance Billing Professional is responsible for accurate, compliant, and timely claim submission and follow-up to government and commercial payers to secure appropriate reimbursement for services provided. This role functions as an advanced individual contributor with a primary emphasis on denial prevention and first-pass yield: proactively identifying documentation, coding, eligibility, authorization, and claim-edit risks; applying payer policy knowledge; and driving corrective action to reduce avoidable denials and rework. The position independently manages complex accounts, partners with internal stakeholders to address root causes, maintains strict patient confidentiality, and supports revenue cycle initiatives that improve cash flow, reduce accounts receivable, and enhance the patient financial experience.
Job Type: Full Time, 80 hours every two weeks
Shift Length: 8 hour shifts, Mon-Fri
Wage Range: $17.39-$24.34 per hour
Requirements:
-High school diploma/GED, or higher education
-One (1) of the following credentials or equivalent: CPC, CPB, CBCS, COC, CIC, CRCR, HBI, HFMA certificates preferred
-Maintains credential continuing education (CE) requirements as applicable.
ESSENTIAL FUNCTIONS
Denial Prevention (Primary Focus)
  • Proactively identifies denial risk prior to billing by validating key claim elements (authorization, eligibility, medical necessity indicators, modifiers, diagnosis/procedure alignment, and required documentation) and coordinating corrections to support clean claim submission.

  • Performs rigorous claim edit review and resolves preventable edits to maximize first-pass acceptance and minimize rejections and rework.

  • Monitors denial and rejection patterns by payer, plan, and denial category; distinguishes one-off issues from systemic drivers and prioritizes interventions based on financial and operational impact.

  • Partners with Denials Analysts and Leadership to conduct root cause analysis and implement prevention actions (standard work, education, workflow changes) to reduce repeat denials and Hospital A/R.

  • Maintains and updates denial prevention tools (payer requirement grids, reference files, tip sheets) to ensure current guidance is available to staff and consistently applied.

  • Communicates payer policy changes, recurring denial themes, and emerging risks with clarity and urgency; escalates trends appropriately to protect reimbursement.

Billing
  • Ensures timely and accurate billing to primary, secondary, and tertiary payers and initiates patient balance billing in accordance with policy and regulatory requirements.

  • Monitor assigned insurance work queues to verify encounters move through the system efficiently; proactively address barriers and escalates systemic issues as needed.

  • Reviews and resolves encounters in assigned queues including, but not limited to, Charge Error DOS, Adjustments, and Client Bill workqueues.

Claim Resolution / Appeals
  • Independently investigates and resolves payer rejections, denials, and underpayments

  • Assists with resolution of encounters from other staff members' work queues to prevent backlogs and maintain service levels.

  • Maintains thorough, timely account notes and follow-up actions that are clear, complete, and audit-ready.

Reporting / Analytics
  • Runs, distributes, and reviews ATB and denial-related reports (or similar) for assigned areas; identifies trends, risks, and priority follow-up actions.

  • Translates reporting into actionable recommendations (training needs, workflow changes, escalation items) and communicates results to leadership and partners.

  • Updates and maintains accurate payer reference information (contacts, addresses, phone numbers, requirements) to support efficient payer communication.

Compliance and Communication
  • Demonstrates consistent compliance with HIPAA, payer policies, and applicable regulations; maintains patient confidentiality in all interactions.

  • Actively participates in continuous quality improvement initiatives to enhance denial prevention, accuracy, timeliness, and outcomes.

  • Demonstrates initiative and resourcefulness by escalating high-risk issues and sharing payer changes, recurring problems, and recommended solutions with management.

  • Assisting leadership with daily, weekly and monthly audit review of team members and various workqueues.

Training, Collaboration, and Team Contribution
  • Supports onboarding and training for new hires and provides ongoing coaching to team members as assigned, with emphasis on clean-claim practices and denial prevention.

  • Partners with the Denials Team and Leadership to provide ongoing education and reinforce standard work.

  • Helps foster a collaborative culture by participating in team goal setting, sharing input, and contributing to a high-performing team.

  • Completes projects requested by Leadership in a timely, accurate, and professional manner.

Ongoing Proficiency
  • Continues to demonstrate proficiency in Insurance Billing and Follow-up representative/associate responsibilities and essential functions.

SPECIAL SKILLS
Minimum Required
  • Strong written and verbal communication skills with the ability to translate denial language into clear, actionable next steps for internal partners.

  • Proficient computer skills, including EHR/billing systems, claim editing tools, and payer portals; strong attention to detail and data accuracy.

  • Strong analytical skills to identify denial trends, determine root causes, quantify impact, and recommend corrective actions.

  • Strong organizational skills with the ability to independently prioritize aged/at-risk accounts, meet deadlines, and manage high-volume work.

  • Critical thinking and sound judgment; timely escalation of high-risk denial trends, payer behavior changes, and reimbursement threats.

  • Ability to develop training materials and provide coaching/training to other team members on denial prevention and clean-claim best practices.

Preferred
  • Intermediate to advanced Excel/reporting skills (filters, pivots, lookups) and comfort translating data into operational action.

  • Experience building/maintaining denial reference tools (payer grids, tip sheets, denial playbooks) and supporting standard work.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy

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