Medical Biller

Silver Pine Medical Group • Sterling Heights, MI

6d • $18 - $28 • Onsite

About The Position

The Billing Specialist is responsible for preparing, submitting, and following up on claims to ensure accurate and timely reimbursement from insurance companies, government programs, and patients. This role plays a critical part in the financial cycle of healthcare delivery by managing the billing process from claim creation to payment resolution.

Requirements

• Strong attention to detail and organizational skills.
• Knowledge of insurance guidelines including Medicare, Medicaid, and commercial carriers.
• Excellent communication and customer service skills.
• Ability to work independently and handle multiple tasks.
• High school diploma or equivalent required.
• Familiarity with CPT, ICD-10, and HCPCS coding systems.

Nice To Haves

• Certificate or coursework in medical billing, healthcare administration, or a related field preferred.
• Minimum of 3+ years of medical billing experience preferred.
• Experience with electronic health records (EHR) and billing software.

Responsibilities

• Keys charge information into entry program and produces billing.
• Assists in the processing of insurance claims including Medicare, HMO and Commercial claims
• Follow up on unpaid claims within standard billing cycle time frame.
• Resolve billing issues and resubmit denied or rejected claims.
• Work closely with patients to explain charges, set up payment plans, and collect outstanding balances.
• Verify insurance benefits and eligibility as needed.
• Stay updated on payer regulations, coding guidelines, and billing best practices.
• Collaborate with clinical documentation specialist, front desk, communication center and clinical staff to resolve discrepancies and improve claim accuracy.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED