Billing Specialist

violet health | Infusion Care; Sylvan Lake (MI); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

Competitive salary

Health, dental, vision

401(k) starting Jan 2027

PTO & holidays

Job summary

violet health | Infusion Care is seeking a detail-oriented Medical Billing Specialist to manage the end-to-end billing cycle. You will submit claims, monitor AR, resolve discrepancies, and serve as a compassionate resource for patient billing inquiries.

The ideal candidate will have 2+ years of medical billing experience, proficiency with ICD-10/CPT/HCPCS, and hands-on use of EHR/PM systems such as Athenahealth, Epic, Kareo, or AdvancedMD. HIPAA compliance is essential.

Qualifications

• 2+ years of medical billing, claims processing, or revenue cycle management (RCM) experience.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Hands-on experience with EHR/PM software (e.g., Athenahealth, Epic, Kareo, or AdvancedMD).
• Strong numerical aptitude, problem-solving skills, and clear verbal and written communication.

Responsibilities

• Claims Processing: Review, generate, and submit electronic and paper claims to commercial insurance payers, Medicaid, and Medicare.
• Payment Posting & Reconciliation: Post payments, adjustments, and write-offs from EOBs and ERAs.
• Denial & Rejection Management: Investigate denied claims, prepare appeals, correct errors, and resubmit timely.
• Accounts Receivable (A/R) Follow-Up: Monitor aging reports and pursue outstanding balances from payers and patients.
• Patient Support: Address patient inquiries regarding statements, copays, deductibles, coverage benefits, and payment arrangements.
• Compliance & Data Integrity: Adhere to HIPAA regulations and current billing regulations.

Skills

Billing

Coding

HIPAA

Communication

Education

High school diploma

Tools

Athenahealth

Epic

Kareo

AdvancedMD

Job description

Position Overview

We are looking for a detail-oriented, analytical Medical Billing Specialist to manage our end-to-end billing cycle. In this role, you will be responsible for submitting claims, monitoring account receivables, resolving billing discrepancies, and serving as a compassionate point of contact for patient billing inquiries. The ideal candidate brings a solid understanding of medical coding, payer guidelines, and healthcare compliance.

Key Responsibilities

• Claims Processing: Review, generate, and submit electronic and paper claims to commercial insurance payers, Medicaid, and Medicare.
• Payment Posting & Reconciliation: Accurately post payments, adjustments, and write-offs to patient accounts from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
• Denial & Rejection Management: Investigate rejected or denied claims, prepare appeals, correct billing errors, and resubmit claims in a timely manner.
• Accounts Receivable (A/R) Follow-Up: Monitor aging reports and actively pursue outstanding balances from payers and patients.
• Patient Support: Address patient inquiries regarding statements, copays, deductibles, coverage benefits, and payment arrangements with professionalism and empathy.
• Compliance & Data Integrity: Maintain strict adherence to HIPAA regulations, patient privacy guidelines, and current billing regulations.

Qualifications & Requirements

• Experience: 2+ years of medical billing, claims processing, or revenue cycle management (RCM) experience.
• Knowledge Base: Familiarity with ICD-10, CPT, and HCPCS coding systems, as well as payer-specific submission guidelines.
• Software Proficiency: Hands-on experience with Electronic Health Record (EHR) and Practice Management (PM) software (e.g., Athenahealth, Epic, Kareo, or AdvancedMD).
• Skills: Strong numerical aptitude, problem-solving skills, and clear verbal and written communication.
• Certifications (Preferred): Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) is a plus.
• Education: High school diploma or equivalent required; associate degree in healthcare administration or related field preferred.

What We Offer

• Competitive base salary commensurate with experience.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan starting January 2027
• Generous paid time off (PTO) and paid holidays.