Medical Billing and Follow Up Representative

Healthcare Support Staffing; Livonia (MI); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Excellent Medical benefits

401k

Paid time off (PTO)

Job summary

A leading healthcare staffing firm is seeking a Medical Billing and Follow Up Representative in Livonia, Michigan. This full-time role involves processing claims, maintaining claims files, and ensuring compliance with contracts and policies. Candidates should have at least a high school diploma and preferably an associate degree, along with relevant experience in medical claims processing. The position offers excellent benefits, including medical, dental, vision, 401k, and paid time off.

Qualifications

• Minimum one year of experience in a hospital, clinic, or insurance environment.
• Familiarity with medical claims processing and financial counseling.
• Proficient in ICD-9, CPT, HCPCS coding.

Responsibilities

• Review, research, and process claims according to contracts and policies.
• Code and process claim forms accurately.
• Maintain claims files and follow up on suspended claims.

Skills

Knowledge of insurance and governmental programs

Customer service activities

Medical terminology

Education

High school diploma or equivalent

Associate degree in accounting or business administration

Job description

Medical Billing and Follow Up Representative

• Full-time

Why You Should Work For Us:

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.

• The Billing & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.

• The core responsibilities will include: coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information in needed.

• Additional follow-up responsibilities include: maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results; and preparing formal history reviews.

• High school diploma or an equivalent combination of education and experience. Associate degree in accounting or business administration high desired.

• Past work experience of at least one year within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing medical claims processing, financial counseling, accounting, financial clearance and/or customer service activities is required.

• Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.

• Working knowledge of medical terminology, anatomy and physiology, medical record coding (ICD-9, CPT, HCPCS), and basic computer skills are highly desirable.

Hours for this Position:

• Monday – Friday
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO