Billing Operations Lead & Denials Expert

Family Health Center; Kalamazoo (MI); On-site; USD 42,000 - 64,000; Full time

Job summary

Family Health Center in Kalamazoo, MI is seeking a Lead Billing Specialist Tier I to oversee daily billing operations, resolve complex claims and denials, and ensure accurate revenue cycle processes.

You will train staff, provide guidance for patients, payers, and internal teams, and monitor performance through reporting to drive improvements.

This role emphasizes strong analytical skills, familiarity with EPIC and FQHC policies, and a patient-centered approach to billing excellence.

Qualifications

• CPC or CPB certification preferred.
• Experience with payer appeals processes.
• Knowledge of FQHC policies and requirements.
• Strong analytical skills required.

Responsibilities

• Oversee daily billing activities, ensure processes are efficient, accurate, and follow company policies.
• Handle complex claims, denials, and unpaid balances, including managing appeals.
• Investigate and resolve billing questions for staff, patients, and payers.
• Prepare and review reports to monitor billing performance and identify areas for improvement.
• Provide support and communicate with patients and staff regarding billing inquiries.
• Serve as a resource for other billers and departments, providing guidance and training on billing processes and workflow improvements.

Skills

CPC/CPB certification

Payer appeals

FQHC policies

Analytical skills

Education

Associate Degree in Business (Accounting/Finance)

Tools

EPIC

Job description

Family Health Center in Kalamazoo, MI is seeking a Lead Billing Specialist Tier I to oversee daily billing operations, resolve complex claims and denials, and ensure accurate revenue cycle processes.

You will train staff, provide guidance for patients, payers, and internal teams, and monitor performance through reporting to drive improvements.

This role emphasizes strong analytical skills, familiarity with EPIC and FQHC policies, and a patient-centered approach to billing excellence.