Physician Billing Specialist: Claims & Reimbursement Expert

Health Care Administrators Association® (HCAA); Jackson (MI); On-site; USD 52,000 - 76,000; Full time

Job summary

Health Care Administrators Association® (HCAA) is seeking a detail-oriented billing professional to coordinate end-to-end physician services billing and reimbursement across Medicare, Medicaid, third-party payers, and private-pay accounts. You will prepare and submit accurate claims, monitor claim status, and resolve rejected or past-due claims to support timely payment.

The role emphasizes accuracy, payer compliance, confidentiality, and collaboration with internal teams to resolve denials and

Qualifications

• Strong knowledge of payer rules for Medicare, Medicaid, and third-party/private pay.
• Detail-oriented claims processing and problem-solving abilities.
• Effective communication and collaboration with payers and internal teams.
• Commitment to compliance and confidentiality.

Responsibilities

• Prepare and submit claims; track progress and outcomes.
• Investigate and correct denied, rejected, or overdue claims.
• Review payer and patient accounts for accuracy and completeness.
• Prepare billing and reimbursement reports and provide updates to stakeholders.
• Communicate with payers and internal teams to resolve billing issues.
• Maintain payer compliance, confidentiality, and required documentation standards.

Skills

payer rules knowledge

claims processing

communication with payers

compliance and confidentiality

Job description

Health Care Administrators Association® (HCAA) is seeking a detail-oriented billing professional to coordinate end-to-end physician services billing and reimbursement across Medicare, Medicaid, third-party payers, and private-pay accounts. You will prepare and submit accurate claims, monitor claim status, and resolve rejected or past-due claims to support timely payment.

The role emphasizes accuracy, payer compliance, confidentiality, and collaboration with internal teams to resolve denials and