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Medical Billing Followup Jobs in Michigan (NOW HIRING)

360care is seeking a medical billing specialist in Detroit, MI to ensure timely follow-up on denied or pending claims. The role emphasizes researching denials, posting adjustments, and communicating ...

360care is seeking a medical billing specialist in Detroit, MI to ensure timely follow-up on denied or pending claims. The role emphasizes researching denials, posting adjustments, and communicating ...

Medical Biller

Saginaw, MI · On-site

$17 - $22/hr

Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to ... Medicaid * Follow up on unpaid claims within standard billing cycle timeframe * Check each ...

Medical Biller

Troy, MI · On-site

$17.25 - $22.25/hr

... - Follow up on unpaid claims within standard billing cycle timeframe - Verify patients' insurance coverage and obtain authorization for services - Communicate with physicians and other healthcare ...

Medical Biller

Troy, MI · On-site

$17.25 - $22.25/hr

... Follow up on denied or unpaid claims within standard billing timeframes • Verify insurance ... medical billing experience required • Strong knowledge of insurance guidelines and claims ...

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Medical Billing Followup information

What is a medical billing followup specialist?

Medical billing followup specialists are professionals responsible for tracking and resolving unpaid or denied medical insurance claims. They work with healthcare providers, patients, and insurance companies to ensure that claims are processed accurately and payments are collected in a timely manner. Their duties include reviewing claim statuses, appealing denied claims, correcting billing errors, and communicating with payers to resolve discrepancies. This role is crucial for maintaining the financial health of healthcare organizations and ensuring patients are billed correctly.

What are the key skills and qualifications needed to thrive as a medical billing followup specialist?

To thrive as a Medical Billing Followup Specialist, you need strong knowledge of medical billing procedures, healthcare reimbursement, and insurance guidelines, often supported by experience or a certification in medical billing and coding. Familiarity with billing software systems such as Epic, Cerner, or Medisoft, along with understanding of ICD-10 and CPT codes, is typically required. Attention to detail, persistence, and effective communication are crucial soft skills for resolving claim denials and working with insurers or patients. These skills ensure timely and accurate claim resolution, which is vital for maintaining cash flow and compliance in healthcare organizations.

What are some common challenges faced in a medical billing followup role, and how can they be managed?

Medical Billing Followup professionals often encounter challenges such as delayed payments, claim denials, and navigating complex insurance policies. Effective communication with insurance companies and healthcare providers is key to resolving these issues efficiently. Staying organized, keeping detailed records, and staying updated on the latest billing regulations can help manage these challenges. Additionally, collaborating closely with other billing team members and utilizing medical billing software can streamline the follow-up process and improve outcomes.

What is the difference between Medical Billing Followup vs Medical Billing Specialist?

AspectMedical Billing FollowupMedical Billing Specialist
CredentialsTypically requires certification in medical billing or codingOften requires similar certifications, such as CPC or CCMA
Work EnvironmentPrimarily in healthcare offices, focusing on follow-up tasksIn healthcare settings, handling billing, coding, and claims processing
Job FocusFollow-up on unpaid claims and patient accountsProcessing claims, coding, and billing procedures

Medical Billing Followup and Medical Billing Specialist roles share similar credentials and work environments. However, Medical Billing Followup specifically emphasizes managing unpaid claims and collections, while Medical Billing Specialists handle broader billing and coding tasks. Both roles are essential in healthcare revenue cycle management and often overlap in daily responsibilities.

What are popular job titles related to Medical Billing Followup jobs in Michigan?

For Medical Billing Followup jobs in Michigan, the most frequently searched job titles are:

What cities in Michigan are hiring for Medical Billing Followup jobs?

Cities in Michigan with the most Medical Billing Followup job openings:

Medical Billing and Follow Up Representative

Healthcare Support Staffing

Livonia, MI • On-site

$16.25 - $20.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago


Key responsibilities

  • Review, research, and process claims in accordance with contracts and policies to determine liability and entitlement.

  • Code and process claim forms, review claims for completeness, correct and complete forms as needed, and prepare claims for return to provider or subscriber if additional information is required.

  • Maintain claims files, follow up on suspended claims, and assist in resolving coordination of benefits, subrogation, and general inquiry issues.


Job description

Company Description

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.

The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.

The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed.  

Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews. 


Qualifications

High school diploma or an equivalent combination of education and experience. Associate degree in accounting or business administration high desired.  

Data entry skills (50-60 keystrokes per minutes).  

Past work experience of at least one year within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing, financial counseling, accounting, financial clearance and/or customer service activities is required.  

Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.  

Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9, CPT, HCPCS), and basic computer skills are highly desirable. 


Additional Information

Hours for this Position:

  • Monday - Friday
  • 8-hour day, 30-minute lunch break
  • Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO 
  • Growth potential
  • Fun and positive work environment



Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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