Jobs

07/15/2026

We are seeking an experienced Medical Billing Appeals and Denials Specialist with hands-on XIFIN experience to join our team. This role will focus specifically on managing insurance denials, preparing and submitting appeals, resolving claim issues, and helping improve reimbursement outcomes.

The ideal candidate will have strong experience working denied and rejected claims, reviewing payer correspondence, identifying root causes of non-payment, and taking timely action to secure appropriate reimbursement. Experience using XIFIN is required.

Responsibilities include:

Review, research, and resolve denied, rejected, and underpaid claims

Prepare and submit timely payer appeals with appropriate supporting documentation

Work directly in XIFIN to manage claim status, denial work queues, notes, corrections, and follow-up activity

Analyze EOBs, payer portals, claim edits, and rejection messages

Identify denial trends and communicate recurring issues to billing leadership

Follow up with insurance carriers regarding appeal status and payment delays

Ensure appeals and corrected claims meet payer-specific filing deadlines

Maintain accurate documentation of all claim activity and communication

Support process improvements to reduce preventable denials

Qualifications:

Prior medical billing, accounts receivable, denial management, or revenue cycle experience required

Direct experience with XIFIN required

Strong knowledge of insurance denials, appeals, EOBs, payer guidelines, and claim follow-up

Experience with laboratory, pathology, diagnostics, or healthcare billing preferred

Ability to interpret payer correspondence and determine appropriate next steps

Strong attention to detail, organization, and follow-through

Excellent written and verbal communication skills

Ability to work independently and meet deadlines

Education Requirements:

High school diploma or equivalent required. Medical billing/coding certification or related healthcare revenue cycle training preferred, but not required with relevant experience.

To Apply:

Please send your resume and a brief statement of interest to amack@nxgenmdx.com. Please include “XIFIN Appeals and Denials Specialist” in the subject line.

07/06/2026

Pay: $21.00 - $25.00 per hour Schedule: Business hours 8-5pm, Monday to Friday Work Location: In person Job description: Medical Credentialing Specialist Medical Management Systems of Michigan (MMS) is seeking a detail-oriented and organized Medical Credentialing Specialist to join our team.

The ideal candidate will be experienced in all aspects of the insurance provider enrollment process, including initial enrollment, re-credentialing, and revalidation. MMS is seeking a tech savvy candidate to play a key role in implementing software to simplify and streamline the credentialing process. This position works in an office environment and serves as the primary liaison between payers, providers, and provider organizations to ensure participation status is maintained accurately and in a timely manner. Looking for those interested in full-time work onsite in our Lansing, MI, office five days per week.

The Medical Credentialing Specialist is an hourly position that typically works 40 hours per week and is eligible for overtime. Key Responsibilities: Complete credentialing and re-credentialing applications (electronic and hardcopy) Partner actively with the Operations team on implementation of credentialing automation software Update and maintain service and payment address information Investigate and resolve credentialing-related rejections Manage EDI, ERA, and EFT enrollments Communicate regularly and proactively with providers, insurance carriers, and internal leadership Maintain strong relationships with payers and clients Other duties as assigned Education and Experience Requirements: High School Diploma or Equivalent required Associate’s Degree or CPCS (Certified Provider Credentialing Specialist) certification preferred 2–5 years of provider enrollment, medical billing, or credentialing experience preferred In-depth knowledge of payer applications and workflow processes (e.g., CHAMPS, PECOS, CAQH)

Qualifications: Ability to work in a fast-paced, deadline-driven environment with frequent interruptions and competing priorities Ability to work independently with minimal supervision Strong attention to detail with a high level of accuracy Highly organized with strong time management skills Strong problem-solving abilities Excellent verbal and written communication skills Ability to analyze information and make timely, sound decisions Professional demeanor when interacting with providers and external stakeholders Proficiency in Microsoft Office (Outlook, Word, Excel) Work Environment and Expectations: Fast-paced environment with frequent interruptions and competing priorities Requires ability to manage multiple deadlines simultaneously Regular interaction with providers, insurance carriers, and internal leadership Benefits: MMS is an equal-opportunity employer offering a comprehensive benefit package for all full-time employees, including medical, dental, and vision coverage, long-term disability, life insurance, 401(k) savings plan with a company contribution, HSA for medical, paid time off, paid holidays, education reimbursement, and business casual dress. Benefits: 401(k) Dental insurance Health insurance Health savings account Life insurance Paid time off Vision insurance To apply, please submit your resume to us at mmsmrecruiting@gmail.com

02/04/2026

Position Title: Certified Outpatient Medical Coder

Location: Traverse City, Michigan

Reports To: Business Manager

Employment Type: Full-time

Date Posted: 01/26/2026

Job Overview

A motivated and detail-oriented outpatient certified medical biller is being sought to support healthcare practices in precise coding and billing for patient services. This role offers an excellent opportunity to contribute to a compliant, efficient, and patient-centered environment. The ideal candidate will bring a strong foundation in medical coding, technological proficiency, and excellent communication skills to thrive in this collaborative setting.

Key Responsibilities

The Certified Coder will handle a variety of crucial tasks, including:

• Preparing claims with accurate linking of diagnosis codes and appropriate modifiers

• Writing appeals and resolving claim denials effectively

• Developing and delivering monthly educational sessions for healthcare providers

•

Qualifications

• Experience: 2-4 years in outpatient healthcare coding

• Certification: Certified Professional Coder (CPC) certification required

• Skills:

o Deep understanding of medical coding principles, including ICD-10, CPT, HCPCS, and relevant guidelines

o Strong attention to detail to ensure documentation and coding accuracy and compliance

o Excellent communication skills for clear and professional interactions with healthcare providers and team members

o Proactive problem-solving abilities to address coding discrepancies and compliance challenges

o Proficiency in coding software, EHR systems, and office productivity tools

How to Apply

Candidates interested in this rewarding opportunity are encouraged to submit their resume and a brief cover letter to llking@cmpmedbilling.com

11/19/2025

Interested applicant please fax me your résumé 989-286-3011 or feel free to email kapmedicalbilling@gmail.com. This is not a remote position and requires in office work.