05/05/2020

Medical Billing Manager Description: The Medical Billing Manager will process insurance claims and manage the billing department of a physician’s office or health care facility. As a medical billing manager, your responsibilities include, but are not limited to, negotiating insurance contracts with insurance companies, tracking payments made by insurance agencies and patients, and training new employees in the billing department. Medical billing involves detailed coding, and as manager, you must ensure your staff understands and follows coding procedures, and that all medical chart codes are accurate.

General Accountabilities:

• Determines appropriate charges based on services provided.
• Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement.
• Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed.
• Analyzes and maintains reports to ensure timely submission of claims.
• Identifies problem accounts requiring further work.
• Provides information to insurance carriers or patients regarding patient accounts.
• Assists patients with billing problems.
• Notifies the supervisor of ongoing problems.
• Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information.
• Prepares and distributes reports.
• Refers accounts to collectors in accordance with policy.
• Performs other related duties as assigned or requested.
• ALLSCRIPTS EHR SYSTEM

Job Qualifications:

• Education: some college preferred
• Experience: 3-5 years of related experience; or equivalent combination of education and experience Skills
• Excellent verbal and written communication
• Critical thinking
• Attentional to detail
• Active listening
• Leadership capability

Please send cover letter and resume to humanresources@healthyurgentcare.com

04/22/2020

JOB OPENING TRAVERSE CITY: Growing medical billing firm seeking billers and coders. A minimum of 1-2 years’ experience in medical billing is required.

• Knowledge of billing software required.
• Salary commensurate with training and experience.
• Full and part time positions available in office setting.
• Benefits package includes vacation, holiday pay, insurance, and 401K.
• This is not a remote position.

Please email resume and cover letter to thardy@integritymms.com.

03/06/2020

We are looking for a full time medical biller in our Office in Troy, Michigan.

Must have strong computer skills and be detailed oriented, experience in healthcare billing required. Position includes charge entry, EOB posting, A/R reduction, claim denials and other tasks as assigned.

Some duties:

• Collecting the information required to create a claim
  Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid Reviewing and appealing unpaid and denied claims
• Handling collections on unpaid accounts
• Managing the facility's Accounts Receivable reports - posting payments both patient and insurance
• Answering patients billing questions
• Other tasks as assigned

Please send Resume to the HR Manager at astepaniak@arcturushealthcare.com

02/19/2020

We are looking for a highly motivated and competent Billing specialist to join our growing outpatient physical therapy clinic.

An outstanding candidate will have experience with managing A/R and billing on an EMR system. This is a part time position in Clinton Township.

Responsibilities include but are not limited to:

• Receiving and tracking incoming payments with credibility and monitoring all A/R Manage the status of accounts and balances while identifying inconsistencies Proactively monitoring insurance claims and resolving denials
• Partner with other team members to improve processes that increase A/R Communicate with patients in person, on the phone, or through letters about their balances
• Prepare thorough reports on billing activity with clear and reliable data
• Skills Proven experience as billing specialist Excellent knowledge Excel and EMR software Resourceful problem solver and results driven Highly organized and detail oriented

Please submit a cover letter and resume to Aunjeanette@empowerPTandfitness.com

02/19/2020

We Are Hiring Medical Coder - Heart Cardiology Consultants - Part-Time, 24 hours/week - Southfield, MI. Three days per week, flex time 8 hours per day. Monday - Friday. Additional hours may be available on occasion.

This is a great opportunity to work with a team of eleven fellow professionals in our cardiology billing department, which includes another full time cardiology medical coder. Experience in ambulatory and in and out patient E&M coding needed.

Please click on this link to apply at the Ascension Careers page. https://jobs.ascension.org/jobs/5034667-part-time-medical-coder-cardiology Job ID: 380217

01/24/2020

Union: Local 1603  Status:  Full time Schedule:  8:00 a.m.-4:30 p.m.   

Summary: Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions / encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine cause of delayed payment and performs all necessary actions to resolve outstanding balance. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures.

Requirements:

• Education equivalent to graduation from high school.
• Six (6) months of experience in physician billing to third party payers or successful completion of a medical insurance specialist certificate program from an accredited college or university including each of the following: CPT coding, ICD coding, medical terminology and anatomy.
• Knowledge of billing procedures for third party payers.
• Knowledge of medical terminology, procedure coding, diagnosis coding and appropriate modifier usage.
• Ability to type accurately on forms.
• Ability to use 10 key adding machine, computer, calculator, and other standard office equipment.
• Ability to communicate effectively both orally and in writing.
• Ability to conform to departmental performance standards.
• Ability to establish and maintain effective working relationships with physicians, superiors, co-workers, other Medical Center employees, patients, third party payers and the general public.

Send resumes to kanders1@hurleymc.com

01/24/2020

Busy, privately owned, multidisciplinary, outpatient clinic is seeking a Full-Time Medical Biller for our Mt. Pleasant office. Candidates must have at least one year previous medical billing experience.

Qualified candidates will also possess knowledge of posting insurance payments to patient accounts, working in an Electronic Medical Record, and an understanding of Medicare, BCBSM, and other commercial payers.

Excellent references, a strong work ethic, attention to detail, organization and a good attitude toward patients and co-workers are required. Certification preferred but not required. Competitive compensation and benefits package available to qualified candidates. No Holidays, nights, weekends or On Call.

Resumes’ can be mailed to Sarah Price, 2480 West Campus Drive Ste. 500 Mt. Pleasant, MI 48858

01/24/2020

01/24/2020

Alliance Healthcare Solutions in Grand Rapids, MI is a family owned and operated Revenue Cycle Management Company that has full openings for Certified Professional Coders with experience in Physician Office Accounts Receivables.

If you are a looking for a rewarding position that offers flexible work arrangements in exchange for your expertise in medical coding and billing, look no further, Alliance Healthcare Solutions might be the right fit for you! A successful candidate would have 3+ years of comprehensive knowledge of CPT, ICD-10 and coding modifiers along with extensive knowledge in CCI edits, HIPAA, government regulations, and billing processes to work the full revenue cycle.

Core Job Requirements:

• Abstract pertinent information from medical records to assign CPT code, modifiers, ICD-10 codes along with any incentive program coding criteria
• Daily charge entry
• Daily submission of medical claims to insurance companies
• Daily posting of payments
• Addressing front end edits
• Claim denial management
• Knowledge of insurance payment guidelines
• Answer patient or insurance telephone inquiries
• Responsible for maintaining the accounts receivables under 91 days
• Prepare unpaid patient accounts for collection
• Ability to work in a team environment, as well as independently

Required Strengths:

• Detail oriented with strong organization, analytical, and problem-solving skills.
• Professional in written and verbal communication
• Provide customer service with a positive attitude.
• Accurate, timely and attention to details in all work duties.
• Has the ability to organize, prioritize and be flexible in work duties
• Has a passion for the ever changing healthcare industry
• Has the skill set to research, document, problem solve and analyze on their own
• Has knowledge and experience in various medical billing software’s such as Epic, NexGen, eClinicnal Works, Advanced MD, TheraNest or others

Experience: A successful candidate will have 3+ years comprehensive knowledge of CPT, ICD-10, CCI edits and the billing processes to work the full revenue cycle.

Education: CPC certification with current membership with AAPC.

Please email your resume and cover letter to: lori@alliancehealthcare-solutions.com

01/24/2020

POSITION SUMMARY: Primary responsibilities include assisting in the establishment, implementation and maintenance of policies and procedures for reimbursements/billing, recording and upkeep of billings and accounts receivable for self-pay and all third-party reimbursements of professional services. Reimbursements Administrator will implement processes effecting reimbursement and develop strategies related to resolving reimbursement issues.

ESSENTIAL JOB DUTIES/ CORE POSITION COMPETENCIES: (A Core Competency is the demonstrated ability to carry out the primary responsibilities of the job)

1. Works in conjunction with direct service staff to ensure insurance data are accurate and current. Review client Billing Data Forms and verifies insurance eligibility.
2. Tracks insurance eligibility for all consumers, securing information from reimbursement sources as necessary. Serves as point person with insurance companies.
3. Keeps informed of current reimbursement procedures and makes recommendations to Corporate Controller and other appropriate personnel.
4. Prepares and monitors all billings, rejections and spending for all consumer billings. Prepare analysis and comparison of consumer billings to budget.
5. Post consumer fee revenues and adjustments.
6. Maintains Fee Schedules
7. Assists in preparation of audit schedules as necessary.
8. Adheres to the SWCS code of ethics, and complies with local, state and federal laws and the mental health codes.
9. Prepares numerous reports – some on a regular basis – some “on demand”.
10. Monitors and supports appropriate staff with credentialing needs.
11. Other duties and projects as assigned by supervisor, contractual obligations and/or program description.
12. Monitors unbillable and rejected claims to ensure claims are being worked and filed timely.
13. Acts as liaison between billing company and SWCDS.
14. Keeps current on the latest billing changes so that SWCDS is informed and can react timely.
15. Post paper check payments in the PCE systems and provide supporting documentation to Finance Staff.

ESSENTIAL JOB REQUIREMENTS:

EDUCATION: EXPERIENCE: Three years’ experience in medical billings and third-party reimbursement experience. Experience in a medical records supervisory role preferred.

REQUIRED CERTIFICATIONS & LICENSURES: • Possession of a valid driver’s license and access to a private vehicle for day-to-day job performance.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Must have good working knowledge of general billing and bookkeeping procedures
• Must have extensive knowledge of billing systems for automatic transfers of data to billing sources
• Ability to communicate effectively with management and program staff and health insurance providers • Must be technically savvy in using software programs such as Microsoft Excel and databases to keep track of large data files
• Knowledge of Public Act 258 and related funding sources requirements regarding ability to pay determinations and billing policies and procedures
• Basic knowledge of general office procedures and operation of basic office equipment
• Must possess basic qualities of tact, integrity, reliability, common sense and initiative
• Flexibility in hours and days available for scheduled work, including weekends

HELPFUL SKILLS:

• American Medical Billing Association Certification helpful but not required.

PHYSICAL REQUIREMENTS: Working Conditions Services will be provided in the office or other appropriate community settings. Work requires vehicle travel in an urban community. Physical Requirements Sitting, standing, walking, driving, repeated hand and wrist motions (for use of computers, phones, and other office equipment) are required. Must be able to tolerate varied weather conditions when traveling to community events.

Send resume to jmichael@swsol.org

01/24/2020

Revenue Cycle | Medical Billing & Collections Specialist-Rochester Hills, MI InfuSystem is a growing healthcare company that provides infusion pumps and related products and services for patients in hospitals, clinics, ambulatory surgery centers, and other sites of care from five locations serving all 50 states and Canada.

We deliver improved patient outcomes and high patient satisfaction. As a leader in our field, our mission is to provide quality infusion services to patients and medical practices, including a 24-hour clinical support hot line. Service is always our highest priority. Patients and clinicians in more than 1,800 sites of care trust InfuSystem as their full-service source for cost-effective infusion pump services.

SUMMARY: The Revenue Cycle | Medical Billing & Collections Specialist is responsible for the timely and accurate filing of claims, follow up activities relative to third party payer billing, and performing follow up on denials/non-payments. This position should have both billing and collections work experience in Healthcare. Requires flexibility in work assignments and support of other functions within the revenue cycle process.

IN THIS ROLE, THE IDEAL CANDIDATE WILL:

• Monitor aging to ensure timely follow up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
• Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends to management
• Research insurance denials (via Waystar Denial Management tool or other means) to resolve claims timely. Ability to analyze accounts and determine next appropriate action
• Work with payers and/or payer web portals to determine reasons for denials and correct and resubmit claims for reimbursement in a timely manner
• Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly or bill patient
• Research payer guidelines and write and submit appeals as appropriate
• Process third party payer correspondence, refunds, and adjustments timely
• Accurately and thoroughly document the pertinent collection activities in appropriate systems
• Respond to all patient inquiries within 24-48 hours
• Remain up to date on payer informational notices and changes
• Share information and ideas for process improvements with team
• Comply with all policies, practices and procedures
• Duties include, but are not limited to, the above responsibilities

SUPERVISORY RESPONSIBILITIES: This job has no supervisory responsibilities

THE IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS:

• Associate Degree or equivalent preferred; minimum five years related experience
• Organizational skills
• Good troubleshooting skills
• Strong attention to detail
• Proficient with Word, Excel, Outlook
• Operate Onbase/HDMS/Waystar proficiently
• Understand insurance guidelines including Medicare and other government, private, self-insurance, and managed- care plans
• Handle inquiries and respond via telephone or in writing
• Ability to explain and resolve billing questions/issues to patient, sales representative and facilities
• Proper use of ICD-10, CPT and HCPCS codes
• Ability to independently meet tight deadlines in a project- based atmosphere
• Prepare and submit medical claims electronically
• Identify and resolve discrepancies and claims delay issues that impact billing and collections
• Clear understanding of how to analyze and prioritize the work on an open item/aging report
• Follow department processes and procedures

PERSONAL AND PROFESSIONAL ATTRIBUTES: The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:

• Strong work ethic
• Sound judgment
• Proven written and verbal communication skills
• Natural curiosity to pursue issues and increase expertise
• Pursue and design innovative analytical performance metrics
• The courage to promote and defend ideas and analyses
• Passionate about InfuSystem and serving customers and patients
• Strives to make an impact on improving our business processes and results
• Exemplary honesty and integrity
• Ability to collaborate effectively and work selflessly as part of a team

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Please send resume to janet.quiring@infusystem.com

01/24/2020

• Experienced payment poster
• Experienced A/R Specialist- Physical Therapy Preferred
• Entry Level A/R Helper

Candidates can send in their resumes to jeannie@certifiedrsllc.com

01/24/2020

Alliance OB/GYN is seeking a team oriented, highly motivated individual to join our family in a Medical Billing Manager role!

• The person in this position manages a medical billing department of four CPC's, planning, supervising and coordinating all the functions of that department.
• The Medical Billing Manager within our office assesses productivity and revenues and makes suggestion for improvement.
• They act as an intermediary between billing staff and other departments and manage billing functions for the office including monitoring performance, maintaining billing codes, overseeing AR, etc.

A successful candidate will possess a CPC and have a minimum of 3-5 years of billing experience within a medical office. Management experience is required as well as a knowledge of basic accounting principals. OB/GYN billing is not required, but would be helpful! Allscripts experience is a HUGE bonus!

This position is full time and has a 4.5 day per week schedule. Salary is commensurate with experience, and benefits include health, vision, dental, life and 401(k)! No phone calls please!

You can fax your resume to 517-484-6358, Attn: Human Resources or apply online at https://allianceobgyn.bamboohr.com/jobs/view.php?id=22

10/24/2019

We are looking for a full-time medical biller in our Office in Troy, Michigan.

Must have computer skills and be detailed oriented, experience in EMR and healthcare billing preferred. Position includes, charge entry, payment posting, A/R reduction, claim denials and other tasks as assigned.

Please Send Resume to the HR Manager at astepaniak@arcturushealthcare.com

10/21/2019

The biller is responsible for prompt and accurate billing and follow-up for all hospital and related professional services provided to patients covered by third party payers, including: Medicare, Medicaid, Blue Cross, Commercial, Workers Compensation and all Managed Care Programs.

Responsible to secure timely and accurate reimbursement from third party payers and patients based on appropriate billing and follow up activities. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to providing Extraordinary Care for Every Generation.

Responsibilities:

• Resolves patient billing inquiries and problems, follows up on balances due from insurance companies and patients.
• Ability to assist patient/family with questions or concerns about their account as it pertains to payment/reimbursement and setting up payment contracts.
• Performs insurance billing clerical duties including review and verification of patient account information against payer program specifications.
• Enters data electronically to process charges, payments. denials and adjustments. Understands the Revenue Cycle.
• Maintains knowledge of Federal, State and local billing regulations, and informs management and compliance department of discrepancies.
• Completes and submits claims for payment, electronic or hard copy, including initial billing, all insurance re-billing, and secondary or subsequent billings.
• Responsible for accuracy and third party compliance in all aspects of billing activities in particular in relating to clinical attachments, cpt coding, occurrence, condition and value codes, pre-certification, contractual adjustments or required forms.
• Strictly adheres to all rules/regulations and quickly responds to changes, as notified by insurance carriers, employers, third party payers, or government agencies.
• Understands the relationship of timely and thorough claims follow-up to assist in the reduction of days in accounts receivable and payer turn around.
• Maintains a thorough understanding of all HMO, PPO, or managed care contractual relationships and able to determine if correct payments and adjustments were made.
• Ability to identify a credit balance account and make the correct determination as to whom/where the credit balance should be refunded or transferred.
• Reports all repeated errors or omissions of patient insurance and demographic information to the manager.
• Corrects all claims edits or errors promptly and before submission.
• Prioritizes issues and workload effectively. Works effectively as both a team member and one on one Ability to communicate effectively both verbally and in writing

KNOWLEDGE/SKILLS/ABILITIES:

• Strong working knowledge of departmental policies, procedures and business operations and how they interrelate to other departments in the organization Third party billing and collections.
• Basic understanding of UB-04, 1500,CPT, ICD-10 Coding.
• Knowledge of hospital and/or medical billing and insurance claim filing. Insurance and/or account follow-up.
• Knowledge of medical and insurance terminology.
• Minimal typing skills of 35 words/ minute. Prefer a strong working knowledge of Excel, Word, PowerPoint Must possess clerical skills:10-key, computer, telephone, copier
• Must have good written and oral communication skills Must be a team player with the ability to work independently as well as in small or large teams
• Protects and maintains the confidential nature of information

EDUCATION/EXPERIENCE: Associates Degree preferred. Must have some post HS education, preferably in accounting, information systems or third party billings. Must have a minimum of 18-24 months of relevant work experience or equivalent combination of training and relevant work experience. Hospital billing and insurance claim processing experience preferred. Insurance and/or account follow-up techniques experience preferred.

Candidates should send their resume to shannon.dockins@chs-mi.com

07/23/2019

Looking to hire a certified medical assistant 30-35 hrs per week. Extremely nice office to work for. Current staff has been long term. Physician easy to work for.

If you are certified and interested please send your resume to generalsurgeon@hotmail.com

07/23/2019

Medical Billing Specialist, Full-time, to join our dedicated Cardiology billing team.

The ideal candidate must have a working knowledge and experience in all aspects of office & hospital billing (including procedures) for professional services, ICD-10 coding and Insurance payment posting. Insurance follow-up skills required to identify and resolve any and all outstanding issues for claim resolution.

Must have ability to work independently, multi-task, have strong problem solving and research skills and be dependable. Genius E-Thomas experience preferred. 

Send resume to jayne620@gmail.com

07/01/2019

Full-time, first shift position working 8:00am to 4:30pm, Monday to Friday working in Cascade Township, MI.

JOB OBJECTIVE SUMMARY: The Medical Billing Specialist a key associate at Hope Network whose primary responsibilities include:

Provides billing and collection services.

This position needs a working knowledge and experience billing Auto No-fault, BCBS, Commercial, Medicare/Medicaid, Workers Compensation, Private payers, and Community Mental Health payers.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee is required to follow any other instructions and to perform any other duties as assigned.

1. Regular and predictable attendance is an essential requirement of this position.

2. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

3. Following up on unpaid claims within payer/funder billing cycle timeframe.

4. Review explanation of benefits for accuracy of payments, adjustments and patient responsibility.

5. Follow up with insurance companies/funding sources regarding any discrepancy in payments if necessary.

6. Identifying and billing secondary or tertiary insurances.

7. Researching and appealing denied claims.

8. Write up account adjustments for approval.

9. Ensure proper documentation is sent with each claim when required.

10. Utilize specific knowledge regarding billing and reimbursement guidelines to expedite payment for services.

11. Provide assistance to staff from all locations with billing and collections inquiries.

12. Utilize systems and procedures to organize the billing office for maximum efficiencies.

13. Works all outstanding accounts over 60 days old for collectability.

14. Complete all other designated projects relevant to the position description.

15. Escalate any billing, collection or system related issues with payer/funders to leadership.

16. Attend regular department/payer meetings.

17. Other duties, as required or assigned.

Educational / Talent Requirements:

1. High school diploma or equivalent is required.

2. Relevant certification preferred (CCS-P, CPC, CPB) or Associate’s degree in related area of study.

3. Demonstrated ability to communicate in both written and verbal format to meet position responsibilities.

4. Demonstrated ability to use word processing, spreadsheet and computerized billing programs including Word/Excel.

5. Data entry skills equivalent to typing skills at 40 words per minute.

6. Familiarity with other office equipment such as calculators, fax and photocopying equipment.

7. Ability to plan, organize and prioritize work on a daily basis.

8. Excellent written and verbal communication skills required.

9. Excellent organizational and interpersonal skills.

Work Experience Requirements:

1. 2 years relevant medical billing and collection experience.

2. Experience in collections, accounts receivable, data processing and business office procedures.

3. Demonstrated knowledge of medical billing and reimbursement.

4. Demonstrated knowledge in the accounts receivable monitoring process (aging of accounts 0-30, 30-60, 60-90 days).

5. Ability to interact effectively with individuals, employees, referral sources, vendors and other designated individuals.

6. Ability to travel to other Hope Network sites when needed and requested; valid driver’s license with acceptable driving record.

Please send cover letter and resume to attention of Esmeralda Perry at EPerry@hopenetwork.org or Careers@hopenetwork.org .

06/19/2019

Under limited supervision, uses intermediate skills obtained through experience and training to bill third party insurance companies and patients for medical services received. Bills claims, posts charges and payments, verifies insurance coverage, and follows up on rejected or unpaid claims. Regularly assists patients and staff with billing questions and concerns providing professional, efficient, and customer focused service in support of the “Care, No Matter What” mission.

Essential Duties and Responsibilities: Perform insurance eligibility, benefit verification and pre-authorization. Enter charges from health centers for all PPMI reproductive health care services. Process and submit medical claims to third party insurance carriers either electronically or on paper. Monitor claims for missing information, authorization, coding and other errors. Resolve edits and unpaid claims. Process rejected claims by correcting billing errors and re-submitting claims to third party payers in a timely fashion. Follow up on delinquent billings with patients and third party payers. Post payments and adjustments for third party and self-pay patient accounts. Answer billing phone line, monitor voice mail, and assist staff and patients with questions. Educate clients about services, funding sources and fees. Maintain remittance advice records for all third party payers. Resolve credit balances and process patient refunds in a timely fashion according to departmental policy. Process bad debt write-offs according to departmental policy. Monitor, troubleshoot, and suggest system improvements related to Practice Management system and clearinghouse software. Review and update CPT & ICD 10 codes and encounter forms as needed. Maintain currency in effective billing and collection processes and procedures. Operate standard office equipment and uses required software applications. Perform other duties and responsibilities as assigned.

Knowledge, Skills, and Abilities: Fundamental concepts, practices and procedures of insurance billing and collections. ICD 10 and CPT coding. Explanation of Benefit statements. Commercial and Medicaid insurance plan formats and operations. HIPAA regulations. Operating standard office equipment and using required software applications, including Microsoft Office products, practice management and electronic medical record applications, clearinghouse systems, and payer websites. Maintain confidentiality and exercise sensitivity and a nonjudgmental manner in dealing with sexuality and sensitive client issues. Maintain and adhere to all OSHA, HIPAA and PPMI policies and guidelines. Partner with other functional areas to accomplish objectives. Read, interpret, analyze and apply information from billing systems. Organize, manage and track multiple detailed tasks and assignments with frequently changing priorities in a fast-paced work environment. Communicate effectively, both orally and in writing. Work independently as well as collaboratively within a team environment. Handle stressful situations and provide a high level of customer service in a calm and professional manner. Establish and maintain effective working relationships at all levels of the organization.

Educational/Previous Experience Requirements: Minimum Degree Required: High School Diploma At least three years of working experience in a health care billing/collections department. Any equivalent combination of experience, education, and/or training approved by Human Resources. Previous experience with billing Blue Cross Blue Shield as preferred.

Planned Parenthood of Michigan is an Equal Opportunity Employer committed to a diverse workplace.

To apply, email ppmirecruitment@ppmi.org

06/18/2019

The Outpatient Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating improvement of the overall quality and completeness of medical record documentation.

• CDI Specialist role ensures completeness of the clinical documentation used for reporting professional services through interaction with providers and clinical staff.
• Monitors accuracy of documentation, including analysis of diagnostic and procedure codes, in accordance with regulatory guidelines.
• Identifies opportunities for documentation improvement and provides ongoing education to providers and coding staff.
• Ensures the accuracy and completeness of clinical documentation used for reporting professional services in the ambulatory setting.
• Improves the overall quality, integrity and completeness of the ambulatory clinical documentation by performing chart audits/reviews to verify appropriate ICD10 and CPT codes are assigned, and documentation requirement are met.
• Conducts meetings with the providers, clinical staff and coding staff to review documentation issues and improvement opportunities.
• Facilitates modification to the ambulatory clinical documentation to ensure appropriate reimbursement is received for the level of service rendered to all patients.
• Educates all members of the patient care team regarding clinical documentation opportunities, changes to clinical documentation guidelines, coding and reimbursement issues, as well as performance improvement methodologies.
• Conducts follow up reviews of ambulatory clinical documentation to ensure points of clarification have been recorded in the medical record.
• Uses interpersonal skills to discuss clinical documentation issues and works effectively with all levels of internal personnel such as coders, physicians, and other health professionals.
• Articulates the program to physicians and other health care professionals to educate and teach ambulatory clinical documentation requirements.
• Demonstrates knowledge of coding guidelines, documentation opportunities and clinical documentation requirements.

Required Associate’s Degree in Health Information Management or related field Certified Clinical Documentation Specialist (CCDS) or CCDS-O (outpatient), Certified Documentation Expert Outpatient (CDEO), Certified Professional Medical Auditor (CPMA) or Registered Health Information Technician (RHIT)

Maintenance of continuing education requirements, If qualified as an RHIT, must have at least 2 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing If qualified as a CCDS, CCDS-O, CDEO or CPMA, must have at least 3 years of experience in a clinical documentation improvement role or ambulatory (professional fee) clinical documentation auditing

Preferred: Bachelor’s Degree in Health Information Management or related field. Experience with ambulatory clinical documentation auditing and improvement.

Apply at: https://mclarenhlth.taleo.net/careersection/mclaren_internal_career_section/jobsearch.ftl Nicotine Testing - To provide a safe, healthy environment for our patients, employees and visitors, as of February 1, 2013 McLaren no longer hires individuals who use nicotine and will conduct nicotine testing during the pre-employment process. If the test is positive the offer will be rescinded. Individuals who test positive may re-apply for employment after six months.

05/31/2019

Please submit all applications through our website at www.ihacares.com 

POSITION DESCRIPTION: Under the guidance of the Compliance & Coding Manger, has primary responsibility for serving as IHA's resource for Records Management, Policies, and Compliance Education. This role provides direction and guidance on records request, general compliance education and tracking IHA's Compliance policies and education work. Responsible for identifying, assessing, and recommending corrections for all areas of compliance policies, general compliance education and records management. Assures adherence to all government regulations and accrediting body standards, organizes and implements policies and procedures necessary to support IHA structures and processes; This position will serve as the subject matter expert on IHA Records Management.

ESSENTIAL JOB FUNCTIONS:

1. Develops, coordinates, and administers facility-wide system for records management, policy management and performs routine audits of record systems as included in IHA's Risk Management Audit Plan.

2. Collects, evaluates and distributes relevant data concerning compliance and risk education. Performs proactive analysis of data and follows up to close gaps in education.

3. Reviews policies, processes to formulate potential for organizational changes, and makes recommendations for approval by Compliance & Coding Manager. Informs directors of service and department heads regarding occurrences, issues, findings and records management recommendations; provides feedback to directors to gain compliance with IHA standards.

4. Participates on committees directed towards promoting records work and serves as IHA liaison for all records request questions.

5. Provides educational classes and job aides to office staff for processing records requests in alignment with IHA Standards for Records Management.

6. Performs audits of IHA standards, record and education tracking systems. Monitors and manages education-tracking files for IHA classes, meeting presentations and Health Stream coursework.

7. Promotes accurate and complete medical record integrity. Directs and coordinates non-risk related release of records and information in response to subpoenas, court orders, attorney requests, state and federal agency investigations and other inquiries on records legal questions and depositions.

8. Works collaboratively with the Risk Manager and Director of Compliance and Risk Management to screen questions for risk case related items. Forwards all risk related items to Risk Manager for response.

9. Receives, records related help desk events and responds in a timely manner to provide direction and guidance.

10. Retains knowledge of current IHA events to recommend appropriate revisions to new or existing policies and procedures to reduce the frequency of future occurrences.

11. Develops and maintains up to date educational materials for Records Management.

12. Performs general Compliance Group Education for staff utilizing effective training methods and job aides.

13. Ensures the quality of IHA medical records by verifying their completeness, accuracy, and proper entry into computer systems.

14. Manages IHA Compliance Policies and Forms, ensures they are up-to-date and saved according to IHA standards for storage, format and archiving.

15. Manages electronic information database for tracking and analyzing data as required in IHA's annual Audit Plan and as directed for Compliance Matters which arise and require analysis. Utilizes data from trend analysis and identifies opportunities to strengthen internal processes and compliance with IHA standards.

16. Maintains knowledge and complies with applicable healthcare laws, regulations and standards concerning patient care. Maintains awareness of legislative activities that may affect risk management programs.

17. Performs other duties as assigned.

ESSENTIAL QUALIFICATIONS:

EDUCATION: Bachelor's Degree or equivalent combination of relevant education and experience.

CREDENTIALS/LICENSURE: AHIMA Certified RHIT- Registered Health Information Technician / or Compliance Certification HCCA.

MINIMUM EXPERIENCE: 5 or more years' experience in the following areas: Compliance, HIPAA, healthcare risk management, regulatory standards, records management and retention.

POSITION REQUIREMENTS (ABILITIES & SKILLS):

1. Knowledge of federal, state, and insurance company regulations and contract requirements affecting compliance in a healthcare setting; understands managed care and insurance practices.

2. Understanding of general coding principals, insurance claims and billing process; HMO, PPO, TPA and commercial insurance types; fee schedules and pricing.

3. Well-developed understanding and/or hands on experience with office processes, procedures and workflows.

4. Knowledge of Compliance plan and auditing standards, organization policies and procedures.

5. Proficient in operating a standard desktop and Windows-based computer system, including but not limited to, Microsoft Word and Excel, Point, intranet and computer navigation. Ability to use other software as required while performing the essential functions of the job including EPM and EHR systems.

6. Proficiency in planning, organizing and prioritizing workloads.

7. Ability to develop and maintain effective professional working relationships with all levels within IHA as well as outside contacts.

8. Effective, professional communication skills, verbal, written and during group presentations.

9. Ability to coordinate activities and work independently to complete projects in a timely manner requiring highly complex analysis.

10. Works collaboratively in a team-oriented environment demonstrating a courteous, professional and friendly demeanor.

11. High level of organizational and time management skills with ability to effectively juggle multiple priorities and time constraints in a fast-paced environment.

12. Exercise sound judgment and problem-solving skills.

13. Ability to maintain any organizational information in a confidential manner.

14. Successful completion of IHA competency-based program within introductory and training period.

15. Ability to work overtime hours as scheduled.

05/24/2019

Job Description Job Description Under direct supervision of Billing/Practice Manager. The qualified candidate is responsible for detailed analysis of accounts receivable

Typical Duties and Responsibilities:

• Performs all necessary follow up procedures to expedite the payment of insurance & patient accounts.
• Coding & data entry of surgical cases
• Effectively utilize automated tools ( Web Denis, C-Snap, HealthFusion, Epic, Citrix)
• Review & perform all necessary follow up action from companies.
• Experience dealing with insurance companies.
• Initiate the appeal process of denied claims.
• Provides feedback to management & participates in department goal setting.
• Audit work for accuracy.
• Understands & attains assigned daily & monthly goals including the A/R aging reports.
• Other duties assigned by management.
• Experience with CPT & ICD-10 coding.

Minimum Work Experience: 3-5 years of medical billing/coding experience required. PC skills are required. Strong knowledge of insurance company rules specifically Medicare, BCBS & Medicaid HMO's. Strong knowledge of modifier usage.

Education: High School Diploma CPC certified is a PLUS!!

Job Type: Full-time

Please send resume to barb.stull@footandanklesemi.com

05/14/2019

Harbor Hall, Inc. is a substance abuse treatment facility in Norther Michigan.

We are looking for a part-time, qualified medical insurance biller and coder. The right candidate must be a team player, have at least 2 years experience billing and coding in a medical office and be familiar with HIPAA and privacy laws. Strong communication skills is pertinent to this job.

This person will be preparing, reviewing, and transmitting claims using billing software, including electronic and paper claims. Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems insurance companies and patient bills.

Resumes can be e-mailed to hollyk@harborhall.com or mailed to Harbor Hall, Inc. Attn: Holly 704 Emmet Street Petoskey, MI 49770

05/01/2019

We are a busy Southfield Cardiology Medical Practice seeking a Senior part-time Medical Biller.

• This person should be self-motivated
• Must have working knowledge of cardiology billing
• Must be able to work independently and in a team
• Computer/technology savvy
• Cardiology coding
• Billing
• Credentialling
• Accounts Receivable and follow-up

Please contact via email at alkasolutionsllc@gmail.com

03/28/2019

Primary responsibilities include assisting in the establishment, implementation and maintenance of policies and procedures for reimbursements/billing, recording and upkeep of billings and accounts receivable for self-pay and all third-party reimbursements of professional services.

Reimbursements Administrator will implement processes affecting reimbursement and develop strategies related to resolving reimbursement issues.

EXPERIENCE:

• Three years’ experience in medical billings and third-party reimbursement experience.
• Experience in a medical records supervisory role preferred.
• Experience with PCE, MHWIN and CHAMPS preferred.

Apply through INDEED: https://www.indeed.com/jobs?q=southwest%20Solutions&l=Detroit&vjk=09db2323efae4563

03/12/2019

Michigan Orthopedic Center is seeking a motivated and energetic Medical Biller and Coder (full-time).

This individual works closely with the providers and staff with all areas of orthopedic billing and coding.

Within 90 days, an employee is expected to independently:

- Process electronic and paper claims for inpatient and outpatient services, including procedure and diagnostic code assignment, creation and submission of claims, unpaid accounts follow up, denial management and payment posting activities

- Work cohesively with patients, staff, providers and third party payers in the submission and management of accounts receivable

- Provide an excellent patient experience in all areas of accounts receivable Applicants must provide stellar patient service, be highly organized, be able to multi-task, and enjoy working in a collaborative team environment.

The ideal candidate represents the practice in a professional, service oriented manner that supports the overall mission. At least one year as a medical biller and coder or equivalent is required; prior experience with electronic health records in a medical office is required. Prior experience in an orthopedic setting is preferred.

Please submit a letter of interest and current resume to ejias@michiganortho.com

03/08/2019

Summary: Under general supervision, is responsible for accurate and timely billing of all charge sessions for physician professional services to all third party payers and patient self-pay accounts. This includes reviewing the charge sessions/encounters, entry of charges into the accounts receivable system, corrections to third party claims, as needed, to ensure timely reimbursement for physician professional fees. Performs follow-up on aged receivables to determine a cause of delayed payment and performs all necessary actions to resolve outstanding balance. Participates in quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Works under the supervision of a departmental director or designee who reviews work for accuracy and conformance to standard procedures.

Requirements: • Education equivalent to graduation from high school. • Six (6) months of experience in physician billing to third-party payers or successful completion of a medical insurance specialist certificate program from an accredited college or university including each of the following: CPT coding, ICD coding, medical terminology, and anatomy. • Knowledge of billing procedures for third-party payers. • Knowledge of medical terminology, procedure coding, diagnosis coding, and appropriate modifier usage. • Ability to type accurately on forms. • Ability to use 10 key adding machines, computer, calculator, and other standard office equipment. • Ability to communicate effectively both orally and in writing. • Ability to conform to departmental performance standards. • Ability to establish and maintain effective working relationships with physicians, superiors, co-workers, other Medical Center employees, patients, third-party payers, and the general public.  

Please send your resume into to kanders1@hurleymc.com

03/04/2019

Part-time medical biller wanted. Experience with KAREO EHR and practice management preferred but willing to train.

Send cover letter and resume to the attention of Gwen: Mays Clinic 4299 Lake Street #96 Bridgman, MI 4910 or email to info@maysclinic.org

02/20/2019

Brighton Family Physicians is a primary care office with four doctors, we are a PCMH and a CPC+ track 1 practice.  

Position Includes:

• Full time
• Benefits

Requirements:

• 2 years experience
• Self-motivated, self-directed coder, work independently and as a team
• Must be versed in all aspects of billing, including charge entry, posting, and follow up.
• Must have EDI experience and be able to apply industry standards where needed
• Great communication skills, both written and verbal
• Must have working knowledge of Health measures and reporting codes
• Must be willing to work in reception when and where needed

Please send resume to nancybyrd61@yahoo.com