Lead Healthcare Insurance Claims Specialist

Loeye; Grand Ledge (MI); On-site; USD 25,000 - 29,000; Full time

Job summary

L.O. Eye Care in Grand Ledge, MI is seeking an Insurance Specialist to join the Revenue Cycle team. The role focuses on claims processing, payments posting, and payer follow-up to ensure timely reimbursement.

Ideal candidates have 3–5 years in healthcare billing, strong medical terminology, and familiarity with CPT/ICD coding. This position is full-time and office-based with opportunities to mentor peers and lead tasks.

Qualifications

• High School Diploma or G.E.D required.
• Previous medical billing experience with knowledge of billing related reporting.
• Three to five years’ experience in health-care (billing or clinical).
• Experience working with medical payers and vision insurance.
• Demonstrated knowledge of medical terminology with high proficiency in general medical office procedures including HIPAA regulations.
• Working knowledge of medical billing systems, NextGen a plus.
• Working knowledge of CPT and ICD-9 & ICD-10 coding system.

Responsibilities

• Enters billing charges via the practice management system and manual entry process, including correcting and refilling denied claims.
• Posts patient and insurance payments manually and electronically
• Follows up with assigned payers on rejections, denials, inquires, status, etc.
• Responsible for aged accounts receivables for assigned payers.
• Participates in daily phone queue rotation, providing exceptional customer service when responding to patient inquiries.
• Works cooperatively with management to deescalate any patient complaints received.
• Attends and participates in meetings and training.
• Complies with rule, regulations, policies, and procedures for collecting payments.
• Performs other duties as assigned.

Skills

Medical billing

Billing reporting

Healthcare billing

Vision insurance

Medical terminology

HIPAA compliance

NextGen

CPT/ICD coding

Education

High School Diploma or G.E.D

Tools

NextGen

Job description

L.O. Eye Care in Grand Ledge, MI is seeking an Insurance Specialist to join the Revenue Cycle team. The role focuses on claims processing, payments posting, and payer follow-up to ensure timely reimbursement.

Ideal candidates have 3–5 years in healthcare billing, strong medical terminology, and familiarity with CPT/ICD coding. This position is full-time and office-based with opportunities to mentor peers and lead tasks.