Billing Specialist

violet health | Infusion Care•Sylvan Lake, MI

About The Position

We are looking for a detail-oriented, analytical Medical Billing Specialist to manage the end-to-end billing cycle. The role is responsible for submitting claims, monitoring accounts receivable, resolving billing discrepancies, and serving as a compassionate point of contact for patient billing inquiries. The ideal candidate has a solid understanding of medical coding, payer guidelines, and healthcare compliance.

Requirements

At least 2 years of medical billing, claims processing, or revenue cycle management (RCM) experience.
Familiarity with ICD-10, CPT, and HCPCS coding systems and payer-specific submission guidelines.
Hands-on experience with Electronic Health Record (EHR) and Practice Management (PM) software.
Strong numerical aptitude and problem-solving skills.
Clear verbal and written communication skills.
High school diploma or equivalent required.

Nice To Haves

Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) certification.
Associate degree in healthcare administration or a related field.
Experience with Athenahealth, Epic, Kareo, or AdvancedMD software.

Responsibilities

Review, generate, and submit electronic and paper claims to commercial insurance payers, Medicaid, and Medicare.
Post payments, adjustments, and write-offs accurately to patient accounts using Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
Investigate rejected or denied claims, prepare appeals, correct billing errors, and resubmit claims in a timely manner.
Monitor aging reports and pursue outstanding balances from payers and patients.
Address patient inquiries about statements, copays, deductibles, coverage benefits, and payment arrangements with professionalism and empathy.
Adhere to HIPAA regulations, patient privacy guidelines, and current billing regulations while maintaining data integrity.