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Optum Billing Jobs in Michigan (NOW HIRING)

As a full time, non-exempt Optum/CPS Pharmacy Technician (Specialty Pharmacy) Services at Cadillac ... billing. You will carry out your job duties according to written procedures and guidelines based on ...

PB Coder

Lansing, MI ยท On-site

$28.06 - $44.20/hr

The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits ... Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ...

Specialty Pharmacy Liaison Explore opportunities with CPS, part of the Optum family of businesses ... billing. You will carry out your job duties according to written procedures and guidelines based on ...

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Optum Billing information

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

AspectOptum BillingMedical Billing Specialist
CredentialsTypically requires knowledge of healthcare billing, insurance, and coding; certifications like CPC or CPC-H are commonSimilar credentials; often CPC certification preferred
Work EnvironmentWorks within healthcare organizations, insurance companies, or third-party billing servicesWorks in healthcare offices, billing companies, or remotely
Industry UsagePrimarily in healthcare and insurance sectors, especially within Optum or UnitedHealth GroupWidely used across healthcare providers, clinics, and billing firms

Optum Billing and Medical Billing Specialist roles share similar credentials and work environments, focusing on healthcare billing processes. However, Optum Billing often involves working within larger healthcare organizations or insurance companies like Optum, while Medical Billing Specialists may work more broadly across various healthcare providers. Both roles require strong knowledge of coding, insurance claims, and billing procedures, making them closely related in the healthcare industry.

Does Optum Billing give work from home?

Optum Billing positions often offer remote work options, especially for roles involving administrative and billing tasks. However, availability of work-from-home arrangements can vary by position and location, and some roles may require on-site presence or hybrid schedules. Candidates should review specific job postings for remote work details and requirements.

Is it hard to get a job as an Optum Billing?

Getting a job as an Optum Billing specialist typically requires relevant healthcare or billing experience, strong attention to detail, and knowledge of billing software. The hiring process can vary but generally involves submitting an application, passing assessments, and completing interviews; some roles may also require certifications such as CPC or equivalent.

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

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

What cities in Michigan are hiring for Optum Billing jobs?

Cities in Michigan with the most Optum Billing job openings:

Infographic showing various Optum Billing job openings in Michigan as of August 2026, with employment types broken down into 2% As Needed, 78% Full Time, 14% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 87% Physical, 5% Hybrid, and 8% Remote job distribution.

Medical Insurance Biller

Integrated Autism Centers

Warren, MI โ€ข On-site

$23 - $26/hr

Full-time

Re-posted 5 days ago


Job description

Medical Biller & Authorizations Representative — Integrated Autism Centers
About Us: Integrated Autism Centers provides high-quality autism diagnostic and therapy services (ABA, speech, and occupational therapy) to children and families across Metro Detroit. We're looking for a sharp, dependable Medical Biller to own our revenue cycle from authorization to payment.
The Role: This is a high-trust, full-time position for someone who knows their way around insurance billing and takes pride in clean claims and a healthy A/R. You'll be the point person for our billing operations — submitting claims, chasing denials, tracking authorizations, and making sure every service we deliver gets paid. The ideal candidate is detail-obsessed, persistent with payers, and comfortable owning the full billing cycle with minimal hand-holding.
Key Responsibilities:
  • Claims Submission: Prepare and submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid; verify CPT codes, modifiers, units, and documentation before submission.
  • Denials & Appeals: Work denials and rejections promptly; prepare appeals and resubmissions, communicate with payers, and resolve issues to keep revenue flowing.
  • Insurance Authorizations: Submit, track, and follow up on authorizations and reauthorizations; monitor expiration dates and unit utilization to keep services uninterrupted.
  • Payment Posting & Reconciliation: Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies.
  • A/R Management: Monitor aging reports, follow up on outstanding claims, and keep days-in-A/R low; provide regular reporting to leadership on collections and claim status.
  • Eligibility & Benefits Verification: Verify patient coverage and benefits at intake and re-verify as needed; communicate patient responsibility clearly to families.
  • Payer Documentation Requests: Gather and submit clinical documentation in response to payer records requests and pre-payment reviews, working with clinical staff to meet deadlines.

What We're Looking For:
  • 1+ years of medical billing experience; ABA, behavioral health, or pediatric therapy billing strongly preferred.
  • Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, Priority Health, and Michigan Medicaid is a strong plus.
  • Experience with practice management/EMR systems and clearinghouses (CentralReach experience a plus).
  • Strong follow-through and persistence — comfortable getting payers on the phone and staying on a claim until it's resolved.
  • Excellent attention to detail and organizational skills; able to manage multiple payers, deadlines, and priorities at once.
  • Clear written and verbal communication with families, staff, and insurance companies.
  • Discretion and reliability when handling PHI and confidential financial information; understanding of HIPAA requirements.