Medical Billing Specialist

Who We Are US Workers Billing is more than just a billing company; we leverage our specific knowledge of the workers compensation industry to ensure efficient invoice routing and timely reimbursement. US Workers Billing is headquartered in Ann Arbor, MI. We are looking for a full-time Medical Billing Specialist. The position is Hybrid with a requirement of 2 days in our Ann Arbor Office. You must be able to come to Ann Arbor for training and for company meetings/events. We offer a best-in-class benefits package. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment. Visit our website to learn more. What You'll Do Claims ProcessingReview incoming prescriptions and supporting medical documentation.Verify patient demographics and insurance information.Accurately enter patient and billing information into multiple software systems.Prepare and submit medical claims using appropriate HCPCS and ICD-10 coding.Revenue Cycle ManagementMonitor claims through the reimbursement process.Investigate and resolve billing issues.Research, prepare, and submit appeals for denied claims.Audit documentation to ensure claims are complete and compliant before submission.Collect and review referrals and prior authorizations by communicating with nurse case managers and insurance adjusters.Customer ServiceHandle inbound and outbound calls with insurance carriers and payers.Respond to inquiries via phone, fax, and email.Accurately document all communications and claim activity.Team CollaborationPartner with team members to improve workflows and operational efficiencies.Maintain compliance with payer guidelines and state and federal regulations.Demonstrate our core values of Caring, Collaboration, Trustparency, and Innovation.What You'll Bring High school diploma or equivalent required.2+ years of medical billing experience preferred.Workers' compensation billing experience is a plus.Experience with medical claims, denials, and appeals preferred.Knowledge of ICD-10 and HCPCS coding preferred.Excellent attention to detail and accuracy.Strong analytical and problem-solving skills.Exceptional organizational and time management abilities.Ability to prioritize multiple tasks in a fast-paced environment.Strong verbal and written communication skills.Proficiency in Microsoft Office and the ability to learn multiple software systems.Positive attitude, strong work ethic, and commitment to continuous improvement.What Success Looks LikeWithin your first six months, you will:Process claims accurately with minimal errors.Successfully resolve denied claims and reimbursement issues.Meet productivity and quality expectations.Build positive working relationships with payers and nurse case managers.Contribute ideas that improve team processes and efficiencies.
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