Billing Specialist in Detroit, MI at Hire Road

Date Posted: 10/29/2019

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Detroit, MI
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/29/2019

Job Description

Billing Specialist
Detroit, MI

Our client is a leading health care and medical services provider in the Southwest Detroit Region. They are looking for a Billing Specialist to join their team in a 100% remote capacity. This Billing Specialist requires 1-2 years of back office billing experience. Medical billing experience is highly preferred. 

GENERAL SUMMARY

  • This position is responsible for the client's Insurance accounts receivable
  • Identifies and determines in accordance with established policies and procedures – the accuracy and completeness of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers.
  • Resolves problem accounts from payer denials and follows up on any claims that require a payer response. 
  • Responsible for the billing and collection of payments for all of client's hospitals, outpatient clinics and employed physicians.

Billing Specialist Responsibilities:

  • Submit third party claim forms (i.e. UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission
  • Evaluate and investigate appropriate actions to be taken in order to resolve outstanding receivables, in accordance with department goals. Utilize various resources such as third-party publications, procedure manuals and participating contractual agreements, etc.
  • Understand and resolves third party rejections using the payer system and the billing system. Utilize various resources such as third-party publications, procedure manuals and participating contractual agreements, etc.
  • Working knowledge of internal and external revenue cycle systems to manage receivables
  • Ensure that all appropriate financial adjustments are posted accurately and in accordance with contracted payment rates, third party billing requirements, and client's policies and procedures
  • Evaluate and validate correct payments received from third party payers
  • Stay current with knowledge of payer and regulatory changes
  • Meet established quality and productivity expectations
  • Identifies, resolves and reports potential issues to leadership
  • Supports the standards set forth in the client's Code of Conducts by adhering to legal and ethical standards
  • Performs other related duties as assigned

WHO WE ARE

Choosing the Hire Road is about shared success, active and committed partnerships and relationships that last.  Hire Road is solely focused on connecting highly skilled professionals with leading organizations. We are a solutions-based, results-oriented staffing company specializing in a wide range of industry specific practices. To put it simply, we recruit, screen and hire talented people for temporary and full-time positions.

This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be.  It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision.  The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.

Equal Opportunity Employer