Billing Specialist

violet health; Sylvan Lake (MI); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) plan

Paid time off

Paid holidays

Job summary

Violet Health is seeking a detail-oriented Medical Billing Specialist in Michigan to manage the end-to-end billing cycle. You will submit claims, monitor accounts receivable, resolve discrepancies, and respond to patient billing inquiries with empathy.

The role requires 2+ years in medical billing, knowledge of ICD-10, CPT, HCPCS, and experience with EHR/PM systems such as Athenahealth, Epic, Kareo, or AdvancedMD. HIPAA compliance is essential.

Qualifications

• 2+ years of medical billing, claims processing, or RCM experience.
• Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guidelines.
• Hands-on experience with EHR and PM software (Athenahealth, Epic, Kareo, AdvancedMD).
• Strong numerical aptitude, problem-solving skills, and clear communication.
• CPB or CBCS certification is a plus.
• High school diploma; associate degree preferred in healthcare administration or related field.

Responsibilities

• Review, generate, and submit electronic and paper claims to payers.
• Post payments, adjustments, and write-offs to patient accounts.
• Investigate denied claims, prepare appeals, and resubmit.
• Monitor aging AR and pursue outstanding balances.
• Address patient billing inquiries with professionalism and empathy.
• Maintain HIPAA compliance and data integrity in billing practices.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Payer guidelines

Education

High school diploma

Associate degree in healthcare administration or related field

Tools

Athenahealth

Epic

Kareo

AdvancedMD

Job description

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.

MUST RESIDE IN MICHIGAN

About Violet Health

At Violet Health, we are dedicated to providing accessible, high-quality, patient-centered care. We believe that behind every clinical interaction is a supportive administrative framework that ensures seamless operations, clear communication, and financial transparency for the patients and communities we serve.