Medical Billing Specialist

WRS Group; Ann Arbor (MI); Hybrid; USD 42,000 - 54,000; Full time

Job summary

US Workers Billing, headquartered in Ann Arbor, MI, is hiring a fulltime Medical Billing Specialist for a hybrid role requiring 2 days in the Ann Arbor office. The position focuses on claims processing, revenue cycle management, and customer service, with training sessions in the office.

The role demands 2+ years of medical billing experience, familiarity with workers' compensation billing, and solid knowledge of ICD-10/HCPCS coding.

Qualifications

• 2+ years of medical billing experience preferred.
• Workers' compensation billing experience is a plus.
• Knowledge of ICD-10 and HCPCS coding preferred.
• Excellent attention to detail and accuracy.
• Strong analytical and problem-solving skills.
• Experience with medical claims, denials, and appeals preferred.
• Proficiency in Microsoft Office and the ability to learn multiple software systems.
• Strong verbal and written communication skills.

Responsibilities

• 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.
• 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.
• Demonstrate Caring, Collaboration, Trustparency, and Innovation.

Skills

Medical billing

ICD-10 coding

HCPCS coding

Denials/appeals

Attention to detail

Time management

Communication

Microsoft Office

Education

High school diploma

Tools

Microsoft Office

Medical billing software

Job description

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 fulltime 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.