MMBA | Jobs

ProCare Pain Solutions is hiring a full-time Medical Billing Specialist for our growing downtown Grand Rapids location. We offer employees competitive wages, paid holidays, and paid time off. Employees can expect no night, weekend, or holiday shifts. In addition, full-time employees are also eligible for a generous 401k profit sharing plan after one year of service. Sign On Bonus Available!

GENERAL SUMMARY: The account receivable billing specialist functions in an administrative role to insure timely and accurate payment entry for hard copy and electronic claims. The account receivable specialist works under the direction of and reports to the manager. Education: Minimum: High School graduate. Working knowledge of medical terminology as well as procedural and diagnosis coding is required

Work Experience: Minimum: One year of recent, relevant experience Professional Skills: Communication: Effective verbal and written skills, computer literate Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem solving abilities, efficient Team Skills: Demonstrate ability and willingness to work as an effective part of a team

CHARACTERISTIC DUTIES AND RESPONSIBILITIES: 1. Payment Posting Skills Demonstrate ability to accurately perform data entry for payments as indicated by carrier explanation of benefits Follow appropriate internal standards, policies and procedures to provide optimal reimbursement and maximize work flow Demonstrate knowledge of carrier specific guidelines and fee schedules Provide follow thru on claims to insure timely payment for secondary claims 2. Administrative Skills Handle incoming and outgoing correspondence Provide telephone support for patients and insurance carriers Communicate with on site clinic staff regarding medical documentation needs 3. Quality Management Adhere to corporate compliance and HIPAA standards and policies Use relevant knowledge of carrier issues and billing standards to insure accurate payments (know when to question) Participate in peer review, quality management and outcome studies as assigned Follow standards, policies and procedures to make appropriate adjustment.s

PHYSICAL DEMANDS: Independently mobile to perform job tasks Approximately 99% of time sent sitting Moderate to heavy computer use. Able to lift up to 30 pounds.

Please email resume to jradakovic@procarepain.com

Accounts Receivable and Denials Management Specialist

ProCare Pain Solutions

Grand Rapids, MI

08/02/2019

ProCare Pain Solutions is hiring a full-time Accounts Receivable and Denials Management Specialist for our growing downtown Grand Rapids location. We offer employees competitive wages, paid holidays, and paid time off. Employees can expect no night, weekend, or holiday shifts. In addition, full-time employees are also eligible for a generous 401k profit sharing plan after one year of service. SIGN ON BONUS AVAILABLE!!!

GENERAL SUMMARY: The Accounts Receivable and Denials Management Specialist functions in an administrative role to ensure timely and accurate follow-up on unpaid claims and denials. This position is responsible for following up on all outstanding accounts which includes reviewing outstanding A/R reports, outstanding accounts in follow-up queues and identifying and reporting trends and changes in payments and denials. The account receivable specialist works under the direction of and reports to the billing team leader.

Education: Minimum: High School graduate. Working knowledge of medical terminology as well as procedural and diagnosis coding is required Preferred: Higher education with a medical office or account focus. Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist-Professional (CRCS-P) preferred Work Experience: Minimum: One year of recent, relevant experience with accounts receivable follow-up and/or denials management experience. Preferred: Two or more years of recent, relevant experience with accounts receivable follow-up and/or denials management experience; experience with working in eClinical Works or Centricity preferred

Professional Skills: Communication: Effective verbal and written skills, computer literate Customer Service: Patient confidentiality, helpful, patience Organizational: Detail oriented, problem solving abilities, efficient Team Skills: Demonstrate ability and willingness to work as an effective part of a team

CHARACTERISTIC DUTIES AND RESPONSIBILITIES: 1. Account Follow-Up and Denials Management Skills Demonstrate ability to follow internal policies and procedures regarding follow-up timelines and methods, documentation standards and spreadsheet creation and maintenance as assigned Maintain a working knowledge of 835 and 277 rejection and denials reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. Write and follow-up on appeal letters for denied claims referencing any applicable research, medical record documentation, medical policy and/or coding and billing rules Use payer websites, payer inquiry methods, payer representatives and other applicable payer specific methods to obtain prompt payment of claims and identification and resolution of any issues affecting prompt payment Use aging reports, work queues, tasks, ticklers and other follow-up techniques to ensure timely follow-up of unpaid claims and timely follow-up on claims that have been underpaid or denied Effectively manage accounts receivable within area of assignment 2. Administrative Skills Handle incoming and outgoing correspondence Provide telephone support for patients and insurance carriers Communicate with others on team including cash posters and leadership regarding payers not meeting contractual obligations pertaining to timely payment, denials and any trends or outliers noted Communicate with on-site clinic staff regarding medical documentation needs 3. Quality Management Adhere to corporate compliance and HIPAA standards and policies Use relevant knowledge of carrier issues, medical policies and billing standards to ensure accurate and timely payments (know when to question) Participate in peer review, quality management and outcome studies as assigned Follow standards, policies and procedures to make appropriate adjustments 4. Facilities/Equipment Demonstrate working knowledge of equipment Coordinate with appropriate person for repairs or maintenance Follow established appropriate use standards 5. Self-improvement/Professional Activities Keep current on issues, practice patterns and trends in medical billing and those specific to pain management Attend continuing education specific to job duties Promote staff development activities and program goals and objectives

PHYSICAL DEMANDS: Independently mobile to perform job tasks Approximately 99% of time sent sitting Moderate to heavy computer use Able to lift up to 30 pounds

WORKING CONDITIONS: Fast paced, demanding office environment Exposure to a variety of attitudes and personalities from patients and visitors. Multiple interruptions.

Please email resume to jradakovic@procarepain.com.

Certified Medical Assistant

Michael G Taylor MD

St Clair Shores, MI

Billing Integrity Auditor

Hope Network

Grand Rapids, MI

07/23/2019

This is for a full-time 40 hr/wk position working Monday to Friday from 8:00am to 5:00pm in Cascade, MI.

JOB OBJECTIVE SUMMARY: The Billing Integrity Auditor is a key associate at Hope Network whose primary responsibilities include: Responsible for the coordination and auditing of billable services within Hope Network residential facilities and possibly clinical services where appropriate. This role will detect coding and billing errors related to services provided and ensure that audits are completed timely and according to policy.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: This is not intended to be an exhaustive listing of job functions. This job description is 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 by management.

1. Utilizes data analytics to complete assigned special projects. Responds to special projects regarding data integrity and data validity related to electronic medical records or Microsoft Dynamics SL.

2. Performs quarterly internal audits of claims billed within residential programs and possibly clinical services where appropriate. Verifies appropriate billing related to coding, payment posting and documentation of services according to Auditing Policy and organizational standards.

3. Collaborates with department in the development and management of yearly audit schedule. Provides continuous updates to schedule throughout the lifespan of individual audits.

4. Researches, recommends and assists in development and ongoing maintenance of auditing tools for use across the network.

5. Analyzes data to identify trends in billed claims. Utilizes data from audits to prepare reports, statistics and presentations for presentation to managers, directors and executives across the network. Collaborates in the development and issuance of narrative reports to meet accreditation requirements

6. Collaborates with team in the review of procedure codes being utilized to assure compliance and accuracy.

7. Provides assistance in the completion of the audit process as needed and required.

8. Recommends changes to auditing process including items audited.

9. Maintains strict confidentiality in accordance with HIPAA policies.

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

Educational / Talent Requirements:

1. Associate’s Degree or equivalent experience.

2. Demonstrated competency in knowledge, interpretation and application of documentation, coding and billing rules/regulations. A Certified Coding Certificate or Registered Health Information Technician Certificate is required.

3. Community Mental Health, Rehab, or clinical billing, funding or auditing preferred.

4. Ability to communicate clearly in written and verbal form.

5. Demonstrated ability to use word processing, spreadsheet and computerized billing programs.

6. Ability to interact effectively and maintain positive relationships with internal and external contacts including, referral sources, funders and other designated individuals.

7. Highly Organized, diligent and detail oriented.

Work Experience Requirements:

1. A minimum of two years of related work experience.

2. Ability to work independently or as part of a team.

3. Basic level of understand of billing and/or auditing functions.

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

Medical Billing Specialist

Advanced Cardiovascular Associates, PC

Warren, MI

Billing and Credentialing

OrteleHealth

Southfield, MI

Medical Billing Software Support Representative

EZClaim Medical Billing Software

Rochester, MI

Medical Payment Poster

CMU Health

Saginaw, MI

Medical Billing Specialist

Hope Network

Grand Rapids, MI

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 .

Medical Biller

Acclerated Billing and Collection Solutions

St Clair Shores, MI

Billing Specialist

Planned Parenthood of Michigan

Ann Arbor, MI

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

Billing and Coding Specialist

McLaren Medical Group

Multiple Locations

06/18/2019

Responsible for monitoring accuracy of documentation including diagnostic, surgical and E&M procedure codes, providing monitoring of daily scheduling, coding routers and charge entry for clinic and hospital billing processes.
Organization and maintenance of routers, verification all charges are captured and all related physician billing requests while following organizational and departmental policies, procedures, and guidelines.
Analyzes and monitors chart and physician documentation related to billing.
Verifies demographics of patient to ensure accuracy of billing and charges.
Organizes all incoming routers and hospital billing face sheets Communicates daily with physicians, MA/LPN and reception staff.
Data entry of all physician charges for all office and hospital professional encounters.
Participates in data collection, compilation, computer input, and generation of reporting. Utilizes ICD10-CM/CPT coding system; assigns appropriate diagnostic and surgical procedure codes; acts as resource person for clinic staff Completion of all physician billing requests and resolution of any missing charges.
Provides clerical support services including typing, filing, copying etc.
Maintains confidentiality of all patient information and records.
Undertakes other duties as assigned.

Required: High school diploma Advanced education in Health Information Mgmt (HIM), or Certified Professional Coder (CPC) or Certified Family Practice Coder (CFPC), and 1-2 years of ICD10-CM and CPT coding experience. One year general office experience Proficient in MS Office Ability to type 35 wpm Preferred: Associate's degree in HIM or a related field. Ambulatory Care or Hospital Medical Records experience.

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.

Outpatient CDI Specialist

McLaren Medical Group

Multiple Locations

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.

Medical Biller

Austim Centers of Michigan

Traverse City, MI

05/31/2019

Autism Centers of Michigan (ACM) is Michigan's leading provider of individualized, behavioral-based treatments for children on the autism spectrum. We are rapidly expanding across the State of Michigan and looking for a Medical Biller to join our team. The successful candidate will have a strong background in medical billing and be responsible for the timely submission of professional medical claims to insurance companies. This position reports directly to our Director of Finance & Administration, and is based at our Headquarters in Traverse City, Michigan.

This is a full-time, benefits eligible position.

Job Duties & Responsibilities:

• Review client bills for accuracy and completeness; obtain any missing information • Prepare, review, and transmit claims using various billing software

• Knowledge of insurance guidelines, including Medicaid

• Follow up on unpaid claims within standard billing cycle timeframe

• Check each insurance payment for accuracy and compliance with contract discount

• Call insurance companies regarding any discrepancy in payments if necessary

• Identify and bill secondary or tertiary insurances

• Review accounts for insurance or patient follow-up

• Research and appeal denied claims

• Answer all patient or insurance telephone inquiries pertaining to assigned accounts

• Set up patient payment plans and work collection accounts

• Keep apprised of any payor rate changes

Qualifications:

• 2-5 years of medical billing experience in a medical setting

• Commercial insurance payor experience and knowledge of processes/requirements

• Community Mental Health/Medicaid knowledge

• Electronic Medical Records systems experience

• Effective communication abilities for phone contact with insurance payers to resolve issues

• Customer service skills for interacting with clients regarding claims and payments

• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

• Data analysis/evaluation skills; ability to provide recommendations for courses of action

• Ability to look for ways to improve current billing procedures and reduce A/R days

• Strong computer, software skills

• Able to work in a team environment

• High school diploma

ACM offers a competitive benefits package including paid time off, paid holidays, health, dental and vision benefits, life insurance, short and long-term disability insurance, and a 401(k) plan with employer match.

ACM is an Equal Opportunity Employer, F/M/D/V/SO.

Compliance Records Mgmt Coordinator

IHA

Ann Arbor, MI

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.

Medical Biller and Coder

Eastside Internal Medicine

Saint Clair Shores, MI

Billing Specialist

Foot & Ankle Specialists of Southeast Michigan

Warren, MI

Billing Processor

Greenberg Eye Center

Troy, MI

Medical Billing/Coder

Harbor Hall Inc

Petoskey, MI

Certified Administrative Assistant

Michael G Taylor MD

St. Clair Shores, MI

Part - Time Senior Biller

Cardiovascular Associates

Southfield, MI

Certified Coder/Biller

Holland Foot & Ankle

Holland, MI

Medical Billing Specialist

Southwest Counseling Solutions

Detroit, MI

Coder-Biller

Great Lakes Bay Surgery & Endoscopy Center

Midland, MI

03/12/2019

Coding/Billing Specialist Position Type Full-Time/Regular

JOB SUMMARY Under the direction of the Business Office Manager, is responsible for assuring that out patient medical records are coded and abstracted according to established criteria utilizing available resources both automated and manual based on documentation in the medical record provided by the attending, consulting physicians and clinical information. Using the available automated systems, enters coded documentation in the medical records on a daily basis. Communicates with consultants, federal and state organizations to validate the coding process and assure compliance to prevent fraud and abuse related to coding and abstracting. Validates documentation and works with the physicians to assure proper coding and educates the medical staff regarding coding issues.

DUTIES AND RESPONSIBILITIES: Collector- additional duties include working and maintaining all patients accounts. Meet all collection activity schedules and goals. Audit EOBs to assure accuracy of reimbursement and proper adjustments. Cross training to all positions for coverage 1.Code diagnoses, procedures, complications and co-morbidities for out- patients accurately. 2.Code appropriately for ancillary services. 3.Demonstrates knowledge and remains current in regard to ICD''s current version, CPT codes, modifiers, APCs, and DRGs. 4.Remains current with the coding and processing of records to assure timely coding. 5.Assures that the proper documentation is available in the medical record prior to coding. Enters codes for each provider and assures that the record is complete to assure that it is accurately abstracted. Follows through to assure the coding is finalized and a claim has been generated. 6.Demonstrates expertise in the use of the automated systems and any other that may pertain to coding. 7.Maintains required certification and training in the area of coding and abstracting. 8.Interacts positively, friendly and professionally with physicians, patients/family, office staff, hospital staff, medically supply and drug company representatives, insurance companies, attorneys, worker''s compensation adjusters and others. 9.Identifies opportunities to teach co-workers, medical staff and professionals regarding the documentation of medical care which supports accurate coding. 10.Speaks clearly, concisely and with consideration and respect in a group or one-on-one. Articulates thoughts wells and has a good rapport with listeners. Communication is clear, concise and understandable. Presentation is always polite, considerate and patient. Listens well.

SKILLS AND ABILITIES: 1.Able to work independently and meet established deadlines. 2.Able to make sound reasonable decisions. 3.Highly organized. 4.Ability to concentrate on many detailed requests despite numerous interruptions and respond accordingly with an appropriate sense of urgency. 5.Demonstrates accountability, professionalism, openness, receptive to change, creativity and innovation. 6.Ability to identify and calmly handle inherently stressful situations with tact. 7.Excellent communication skills. 8.Ability to develop excellent working relationships with consumers, vendors and staff. 9.Seeks guidance, direction and assistance when needed. Required Skills

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS: 1. 3 - 5 years in medical environment with experience coding in a ASC environment (including orthopedics, pain management, surgical (general, and gynecological), Gastroenterology. Certification required. (American Health Information Management Association (AHIMA), the American Academy of Professional Coders (AAPC). 2. 4 year degree in business or clinical area or equivalent work experience. 3. Computer literate. Experience and knowledge of Amkai and Microsoft Office product required. 4. Knowledge of medical terminology.

Please send cover letter and resume to tbrindley@glbsurgery.com

Medical Biller

Michigan Orthopedic Center

Lansing, MI

Medical Biller

Better Way Billing

Sylvan Lake

Medical Biller

Cloud 9 Medical Solutions

Remote - Home

Physician Biller

Hurley Medical Center

Flint, MI

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

Michigan Medical Billers Association

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Current Job Postings

Medical Coder - Cardiology

Heart Cardiology Consultants ( Ascension Healthcare)

08/12/2019

MEDICAL BILLER

08/12/2019

Billing Manager

Compass Healthcare - Capital Urological Associates

08/02/2019

Medical Billing Specialist

ProCare Pain Solutions

08/02/2019

Accounts Receivable and Denials Management Specialist

ProCare Pain Solutions

08/02/2019

Certified Medical Assistant

Michael G Taylor MD

07/23/2019

Billing Integrity Auditor

Hope Network

07/23/2019

Medical Billing Specialist

Advanced Cardiovascular Associates, PC

07/23/2019

Billing and Credentialing

OrteleHealth

07/23/2019

Medical Billing Software Support Representative

EZClaim Medical Billing Software

07/23/2019

Medical Payment Poster

CMU Health

07/23/2019

Medical Billing Specialist

Hope Network

07/01/2019

Medical Biller

Acclerated Billing and Collection Solutions

07/01/2019

Billing Specialist

Planned Parenthood of Michigan

06/19/2019

Billing and Coding Specialist

McLaren Medical Group

06/18/2019

Outpatient CDI Specialist

McLaren Medical Group

06/18/2019

Medical Biller

Austim Centers of Michigan

05/31/2019

Compliance Records Mgmt Coordinator

IHA

05/31/2019

Medical Biller and Coder

Eastside Internal Medicine

05/31/2019

Billing Specialist

Foot & Ankle Specialists of Southeast Michigan

05/24/2019

Billing Processor

Greenberg Eye Center

05/14/2019

Medical Billing/Coder

Harbor Hall Inc

05/14/2019

Certified Administrative Assistant

Michael G Taylor MD

05/14/2019

Part - Time Senior Biller