Medical Billing Specialist

US Workers Billing Company; Ann Arbor (MI); Hybrid; USD 55,000 - 70,000; Full time

Benefits offered by this job

Best-in-class benefits

Hybrid work model

Job summary

US Workers Billing Company in Ann Arbor, MI is seeking a full-time Medical Billing Specialist. This hybrid role requires 2 days in our Ann Arbor office; training and company meetings/events will be held in person.

You will review prescriptions and medical documentation, verify demographics and insurance, and enter data into multiple systems to prepare and submit claims using HCPCS and ICD-10 coding. Strong detail orientation and communication skills are essential.

Qualifications

• High school diploma or equivalent.
• 2+ years of medical billing experience preferred.
• Workers' compensation billing experience is a plus.
• Experience with medical claims, denials, and appeals preferred.
• Knowledge of ICD-10 and HCPCS coding preferred.
• Excellent attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Exceptional organizational and time management abilities.
• Ability to prioritize multiple tasks in a fast-paced environment.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and the ability to learn multiple software systems.
• Positive attitude, strong work ethic, and commitment to continuous improvement.

Responsibilities

• Review incoming prescriptions and supporting medical documentation.
• Verify patient demographics and insurance information.
• Enter patient and billing information into multiple software systems.
• Prepare and submit medical claims using HCPCS and ICD-10 coding.
• Monitor claims through the reimbursement process.
• Investigate and resolve billing issues.
• Research, prepare, and submit appeals for denied claims.
• Audit documentation to ensure claims are complete and compliant before submission.
• Collect and review referrals and prior authorizations by communicating with nurse case managers and insurance adjusters.
• Handle inbound and outbound calls with insurance carriers and payers.
• Respond to inquiries via phone, fax, and email.
• Accurately document all communications and claim activity.
• Partner with team members to improve workflows and operational efficiencies.
• Maintain compliance with payer guidelines and state and federal regulations.

Skills

Medical billing experience

Attention to detail

Analytical thinking

Time management

Communication skills

Microsoft Office

Education

High school diploma or equivalent

Job description

Who We Are

US Workers Billing is more than just a billing company; we leverage our specific knowledge of the workers' compensation industry to ensure efficient invoice routing and timely reimbursement. US Workers Billing is headquartered in Ann Arbor, MI. We are looking for a full-time Medical Billing Specialist. The position is Hybrid with a requirement of 2 days in our Ann Arbor Office. You must be able to come to Ann Arbor for training and for company meetings/events. We offer a best-in-class benefits package. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment. Visit our website to learn more.

What You'll Do

Claims Processing

Review incoming prescriptions and supporting medical documentation.

Verify patient demographics and insurance information.

Accurately enter patient and billing information into multiple software systems.

Prepare and submit medical claims using appropriate HCPCS and ICD-10 coding.

Revenue Cycle Management

• Monitor claims through the reimbursement process.
• Investigate and resolve billing issues.
• Research, prepare, and submit appeals for denied claims.
• Audit documentation to ensure claims are complete and compliant before submission.
• Collect and review referrals and prior authorizations by communicating with nurse case managers and insurance adjusters.

Customer Service

• Handle inbound and outbound calls with insurance carriers and payers.
• Respond to inquiries via phone, fax, and email.
• Accurately document all communications and claim activity.

Team Collaboration

• Partner with team members to improve workflows and operational efficiencies.
• Maintain compliance with payer guidelines and state and federal regulations.
• Demonstrate our core values of Caring, Collaboration, Trustparency, and Innovation.

What You'll Bring

• High school diploma or equivalent required.
• 2+ years of medical billing experience preferred.
• Workers' compensation billing experience is a plus.
• Experience with medical claims, denials, and appeals preferred.
• Knowledge of ICD-10 and HCPCS coding preferred.
• Excellent attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Exceptional organizational and time management abilities.
• Ability to prioritize multiple tasks in a fast-paced environment.
• Strong verbal and written communication skills.
• Proficiency in Microsoft Office and the ability to learn multiple software systems.
• Positive attitude, strong work ethic, and commitment to continuous improvement.

What Success Looks Like

Within your first six months, you will:

• Process claims accurately with minimal errors.
• Successfully resolve denied claims and reimbursement issues.
• Meet productivity and quality expectations.
• Build positive working relationships with payers and nurse case managers.
• Contribute ideas that improve team processes and efficiencies.