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Medical Billing Verification Jobs in Rochester, MI

Arcturus Healthcare PLC

Medical Biller

Troy, MI · On-site

$17.25 - $22.25/hr

... billing cycle timeframe - Verify patients' insurance coverage and obtain authorization for services - Communicate with physicians and other healthcare professionals to clarify diagnoses or obtain ...

Arcturus Healthcare

Medical Biller

Troy, MI · On-site

$17.25 - $22.25/hr

... billing timeframes • Verify insurance eligibility • Respond to patient inquiries regarding billing and account balances • Communicate with providers and staff to clarify documentation and ...

micro1 AI

Medical Billing Specialist

Detroit, MI · Remote

$50 - $80/hr

Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Sterling Heights, MI · Remote

$50 - $80/hr

Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Warren, MI · Remote

$50 - $80/hr

Medical Writer / Clinical Document Author Role Type: Contractor Location: Remote micro1 is engaging ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

UHS

Senior Medical Biller

Auburn Hills, MI

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... party insurances, billing, and follow-up procedures, admitting, insurance verification and ...

UHS

Senior Medical Biller

Auburn Hills, MI · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... party insurances, billing, and follow-up procedures, admitting, insurance verification and ...

UHS

Senior Medical Biller

Auburn Hills, MI · On-site

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... party insurances, billing, and follow-up procedures, admitting, insurance verification and ...

UHS

Senior Medical Biller

Auburn Hills, MI

Excellent Medical, Dental, Vision and Prescription Drug Plan * 401(K) with company match and ... party insurances, billing, and follow-up procedures, admitting, insurance verification and ...

Associates In Family Practice

Be Seen First

Medical Biller

Sterling Heights, MI · On-site

$20 - $25/hr

We use Aprima for our EHR and billing software, familiarity is helpful but not required. Training ... R -insurance verification -assisting patients with questions either by phone or in person as ...

TH Medical

Medical Office Assistant - TROY

Detroit, MI

$17.50 - $22.50/hr

Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... and verify insurance information, research billing problems and compile data for statistical ...

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All JobsMedical Billing Verification JobsMedical Billing Verification Jobs in Rochester, MI

Medical Billing Verification information

See Rochester, MI salary details

$11

$18

$25

How much do medical billing verification jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for medical billing verification in Rochester, MI is $18.88, according to ZipRecruiter salary data. Most workers in this role earn between $16.15 and $20.82 per hour, depending on experience, location, and employer.

What is medical billing verification?

Medical billing verification is the process of ensuring that a patient's insurance information is accurate and up to date before submitting claims for healthcare services. This step helps to confirm coverage, determine patient benefits, and reduce the likelihood of claim denials or payment delays. Verifying billing details includes checking eligibility, coverage limits, co-pays, deductibles, and any pre-authorization requirements. It is a crucial part of the revenue cycle in healthcare organizations to ensure providers are properly reimbursed for their services.

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

To thrive as a Medical Billing Verification Specialist, you need a solid understanding of medical billing procedures, insurance guidelines, and relevant healthcare terminology, typically supported by a high school diploma or certification in medical billing and coding. Familiarity with electronic health record (EHR) systems, billing software like Epic or Medisoft, and knowledge of HIPAA regulations are crucial. Attention to detail, strong organizational skills, and effective communication help ensure accuracy and resolve discrepancies with insurance companies and healthcare providers. These competencies are vital for reducing claim denials, ensuring timely reimbursements, and maintaining compliance in the healthcare revenue cycle.

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

One of the main challenges in Medical Billing Verification is ensuring the accuracy and completeness of patient information and insurance details, which can be complicated by frequent changes in coverage and varying payer requirements. Errors or omissions can lead to claim denials or payment delays, so attention to detail and strong organizational skills are essential. Effective communication with healthcare providers, patients, and insurance companies is also crucial, as resolving discrepancies often requires coordination across multiple parties. Staying updated on insurance policies and regulations can help minimize errors and improve claim approval rates.

What is the difference between Medical Billing Verification vs Medical Coding?

AspectMedical Billing VerificationMedical Coding
Primary FocusVerifying insurance coverage, patient information, and billing accuracyAssigning standardized codes to diagnoses and procedures
CredentialsTypically requires medical billing certifications, knowledge of insurance policiesRequires coding certifications like CPC or CCS
Work EnvironmentOffice-based, healthcare facilities, billing companiesOffice-based, healthcare facilities, coding departments
Industry UsageUsed in billing departments to ensure claims accuracyUsed in coding departments for documentation and billing

Medical Billing Verification and Medical Coding are related roles within healthcare billing. Verification focuses on confirming insurance and billing details, while coding involves translating medical services into standardized codes. Both roles require specific certifications and are essential for accurate claims processing, often working closely within healthcare billing teams.

Is it hard to find a job as a medical billing verification?

Finding a job as a medical billing verification specialist can be relatively accessible, especially with relevant certifications and experience in medical coding or billing software. Job availability depends on the healthcare industry demand, geographic location, and individual qualifications, but entry-level positions are often available for those with basic knowledge of medical billing processes.

What are popular job titles related to Medical Billing Verification jobs in Rochester, MI?

For Medical Billing Verification jobs in Rochester, MI, the most frequently searched job titles are:

What job categories do people searching Medical Billing Verification jobs in Rochester, MI look for?

The top searched job categories for Medical Billing Verification jobs in Rochester, MI are:

What cities near Rochester, MI are hiring for Medical Billing Verification jobs?

Cities near Rochester, MI with the most Medical Billing Verification job openings:

Medical Billing Verification jobs near you

Medical Billing & Denial Specialist (DME)

J&B Medical Supply Co Inc

Wixom, MI • On-site

$19 - $22/hr

Full-time

Medical, PTO

Posted 12 days ago

Job description

Description:

HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: AL,FL, GA, IN, LA, MS, NC, SC, TN, TX, VA, & WV

***** MI RESIDENTS WITHIN 40 MILES OF 48393 WILL BE HYBRID


Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?


APPY NOW!


- Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!

The Medical Billing & Denial Specialist is responsible for analyzing, appealing, and resolving insurance claim denials for Durable Medical Equipment (DME). Utilizing the Universal Software Solutions HDMS platform, this role requires deep regulatory knowledge to craft effective, logic-based written appeals that maximize reimbursement. The ideal candidate takes an analytical approach, identifying payer denial trends to proactively prevent recurring billing errors.

Essential Responsibilities & Tasks

Denial Management & System Workflows

  • HDMS Queue Navigation: Utilize Universal Software Solutions HDMS to monitor, prioritize, and process daily denial workflows and collections worksheets.
  • Audit & Correct: Review denied claims within HDMS for coding accuracy and execute required corrections before submission.
  • Appeal  Excellence: Draft well-researched, logical written appeals based on strict contract, coding, and medical record reviews.
  • Payer  Navigation: Resolve claim bottlenecks across commercial, Medicare, Medicaid, and Medicare Advantage plans.
  • No-Response Claims: Investigate outstanding claims with zero payer response to verify receipt and accelerate processing.

Root-Cause Analysis & Strategy

  • Trend Identification: Detect systemic payer denial patterns within HDMS data streams and communicate findings to management to prevent future errors.
  • Policy Tracking: Monitor regulatory changes, Medicare Local Coverage Determinations (LCDs), and individual payer policy shifts.
  • Team Knowledge Share: Inform internal team members of updated payer guidelines and assist with peer education as needed

Operational Support

  • Internal  Collaboration: Partner with coders, billers, and management to resolve cross-departmental coding disputes.
  • Quality Assurance: Achieve designated organizational goals regarding error-free transactions, compliance metrics, and aging AR timelines.
  • Escalation Support: Act as the primary point of contact for complex, unresolved  billing and denial challenges.

Position Type & Schedule

  • Status:   Full-time (40 hours per week).
  • Schedule: Monday through Friday, Day Shift.
  • Flexibility:  Occasional evening and weekend work may be required based on operational demands.
Requirements:

Minimum Qualifications

  • Experience:  3+ years of dedicated DME billing, coding, and insurance collections  experience.
  • Software  Proficiency: 1+ years of hands-on experience navigating Universal Software Solutions HDMS (or similar broad-scale DME enterprise billing software).
  • Payer  Knowledge: Proven background managing Medicare, Medicaid, and commercial claims.
  • Technical Skills: Experience with Electronic Data Interchange (EDI) transmissions and advanced Excel skills.
  • Education:  High school diploma or GED equivalent.

Preferred Qualifications

  • Advanced HDMS Skills: Familiarity with the HDMS workspace, StowPoint document  management, or automated workflow tools.
  • DMEPOS  Expertise: Deep familiarity with DMEPOS fee scheduling files, laws,      and compliance regulations.
  • Regional  Guidelines: Strong working knowledge of Multi-State Medicare Local Coverage Determinations (LCDs).
  • Portal Proficiency: Hands-on experience navigating CMS and EPS provider portals.

Technical Infrastructure (BYOD)

  • Equipment:  This position requires a Bring Your Own Device (BYOD) setup. Equipment  is not provided.
  • Hardware:  You must own and maintain a reliable computer capable of securely running  healthcare software.

Other Duties

All other duties as assigned by management.