Billing & Reimbursement Specialist

Quipt Home Medical; Grand Blanc (MI); On-site; USD 36,000 - 54,000; Full time

Job summary

Quipt Home Medical is seeking a detail-oriented Billing Clerk to manage insurance and billing activities for patient care services. Responsibilities include entering charges, obtaining authorizations, submitting claims, and following up on payments.

The role requires a high school diploma or GED and at least six months in a medical-related field, with strong typing and organizational skills to ensure accurate records and timely reimbursements. Office environment in Michigan.

Qualifications

• High school diploma or GED.
• Minimum of 6 months in a medical-related field or training.
• Professional, proactive attitude with good communication.

Responsibilities

• Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.
• Initiate private pay collections after insurance cancellation, denial or other issue.
• Obtaining referrals and pre-authorizations as well as eligibility and verification of benefit when required.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Identifying and billing secondary or tertiary insurances.
• Maintain accuracy of tables as well as inform management with rate changes.
• Check to see if claims remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and to keep the billing cycle on track.
• Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement.
• Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process or the appeals process.
• Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned.
• Communicate policy changes/issues to management so information can be communicated out to other areas of company.
• Liaise between payers/provider representatives when necessary.
• Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the billing team and the organization.
• Serves as troubleshooter for accounts receivable problems and as back-up troubleshooter for complete system.
• Other duties as requested by Management.

Skills

Interpersonal skills

Attention to detail

Data entry

Typing

Organizational skills

Education

High school diploma or GED

Job description

Quipt Home Medical is seeking a detail-oriented Billing Clerk to manage insurance and billing activities for patient care services. Responsibilities include entering charges, obtaining authorizations, submitting claims, and following up on payments.

The role requires a high school diploma or GED and at least six months in a medical-related field, with strong typing and organizational skills to ensure accurate records and timely reimbursements. Office environment in Michigan.