Medical Billing & Insurance Verification Specialist

Eastlake Cardiovascular, PC; Saint Clair Shores (MI); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive benefits

Short-Term Disability

Paid holidays

PTO

8-hour shifts (no nights/weekends)

Job summary

Eastlake Cardiovascular, P.C. in St. Clair Shores, MI is seeking an Insurance Verification & Billing Specialist. The role verifies insurance, supports authorizations, submits claims, and resolves billing issues. As the department grows, cross-training for Remote Patient Monitoring (RPM) billing will be added.

The ideal candidate has medical billing experience, strong attention to detail, and the ability to support multiple areas of the billing process.

Qualifications

• High school diploma or equivalent required.
• Previous experience in medical billing, insurance verification, revenue cycle, or a related healthcare role.
• Strong attention to details and accuracy.
• Excellent organizational and time management skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong written and verbal communication skills.
• Ability to work independently and as part of a team.
• Experienced with electronic medical records, billing systems, and Microsoft Office applications.
• Ability to maintain patient confidentiality and follow HIPAA requirements.

Responsibilities

• Verify patient insurance eligibility and benefits prior to services.
• Obtain and assist with obtaining required authorizations and referrals, including global referrals.
• Review coverage, deductibles, copayments, and other payer requirements.
• Submit accurate medical claims and correct claims as needed.
• Answer and respond to calls on the billing phone line, assisting patients and staff with billing questions and concerns.
• Review EOBs and payment information.
• Follow up on unpaid, rejected, and denied claims.
• Research and resolve billing and insurance issues.
• Post and accurately apply patient and insurance payments to accounts, including reviewing and resolving payment discrepancies.
• Maintain accurate notes and documentation.
• Communicate with insurance companies, patients, providers and internal teams regarding billing issues.
• Follow company billing procedures and HIPAA requirements.
• Cross-train with the Remote Patient Monitoring (RPM) billing processes.
• Provide backup coverage and overflow support for RPM billing when needed.
• Review RPM accounts for required information and documentation.
• Assist with RPM claim submission, corrections, denials, and follow-ups.
• Review RPM related claims for accuracy and assist with correcting rejected or denied claims.
• Support follow up on unpaid or denied RPM claims and assist with identifying recurring issues.
• Work with RPM team to resolve billing issues and discrepancies.

Skills

Attention to detail

Organizational skills

Time management

Communication skills

EMR systems

Microsoft Office

Education

High school diploma

Tools

Electronic Medical Records

Microsoft Office

Job description

Eastlake Cardiovascular, P.C. in St. Clair Shores, MI is seeking an Insurance Verification & Billing Specialist. The role verifies insurance, supports authorizations, submits claims, and resolves billing issues. As the department grows, cross-training for Remote Patient Monitoring (RPM) billing will be added.

The ideal candidate has medical billing experience, strong attention to detail, and the ability to support multiple areas of the billing process.