Medical Office Biller

Michigan Orthopaedic Surgeons PLLC•Southfield, MI

23h

About The Position

The Medical Biller is responsible for the accurate billing and collection of claims for services rendered by healthcare providers. This role reviews charges and coding, resolves claim edits and billing discrepancies, corrects patient and insurance information, and supports timely submission of clean claims and follow-up on outstanding payments. Success in this role requires strong medical billing knowledge, attention to detail, problem-solving ability, productivity, and a commitment to HIPAA compliance and patient confidentiality.

Requirements

High School Diploma or GED.
Medical office experience required.
Strong attention to detail, prioritization, problem-solving, and computer skills.
Working knowledge of HIPAA and patient confidentiality requirements.

Nice To Haves

Previous medical billing or healthcare claims processing experience.
Experience reviewing CPT and ICD-10 coding and resolving claim edits.
Experience with payer or insurance portals, including Availity.
Experience correcting patient demographics, insurance information, and patient account errors.
Experience working with Electronic Health Record (EHR), practice management, or medical billing systems.
Medical billing or coding certification, such as CPC, CCS, CCA, or CPB.

Responsibilities

Review charges, CPT coding, and ICD-10 coding in the electronic chart and compare charges to documentation when necessary.
Review and correct front-end edits and other billing issues to support clean, timely claim submission.
Review medical necessity criteria and address claim issues that may affect reimbursement.
Support timely submission of claims and follow up on outstanding payments.
Identify and correct errors in patient accounts, demographics, and insurance policy numbers.
Investigate and resolve billing discrepancies accurately and efficiently.
Maintain accurate billing and insurance information throughout the claims process.
Efficiently use insurance company online features and payer portals, including services such as Availity.
Use electronic healthcare and billing systems to review documentation, patient accounts, and claim information.
Participate in educational activities to remain current on coding changes and billing requirements.
Prioritize work effectively and meet established productivity standards.
Identify problem trends, communicate them to the supervisor promptly, and actively seek solutions.
Maintain a courteous and professional demeanor when working with others.
Follow HIPAA, organizational policies, legal guidelines, and patient confidentiality requirements.
Perform other duties as assigned.