Medical Biller

Medical Biller Integrated Autism Centers Integrated Autism Centers provides high-quality autism diagnostic and therapy services (ABA, speech, and occupational therapy) to children and families across Metro Detroit. We're looking for a sharp, dependable Medical Biller to own our revenue cycle from authorization to payment. The Role: This is a high-trust, full-time position for someone who knows their way around insurance billing and takes pride in clean claims and a healthy A/R. You'll be the point person for our billing operations submitting claims, chasing denials, tracking authorizations, and making sure every service we deliver gets paid. The ideal candidate is detail-obsessed, persistent with payers, and comfortable owning the full billing cycle with minimal hand-holding. Key Responsibilities: Claims Submission: Prepare and submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid; verify CPT codes, modifiers, units, and documentation before submission. Denials & Appeals: Work denials and rejections promptly; prepare appeals and resubmissions, communicate with payers, and resolve issues to keep revenue flowing. Insurance Authorizations: Submit, track, and follow up on authorizations and reauthorizations; monitor expiration dates and unit utilization to keep services uninterrupted. Payment Posting & Reconciliation: Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies. A/R Management: Monitor aging reports, follow up on outstanding claims, and keep days-in-A/R low; provide regular reporting to leadership on collections and claim status. Eligibility & Benefits Verification: Verify patient coverage and benefits at intake and re-verify as needed; communicate patient responsibility clearly to families. Payer Documentation Requests: Gather and submit clinical documentation in response to payer records requests and pre-payment reviews, working with clinical staff to meet deadlines. What We're Looking For: 1+ years of medical billing experience; ABA, behavioral health, or pediatric therapy billing strongly preferred. Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, Priority Health, and Michigan Medicaid is a strong plus. Experience with practice management/EMR systems and clearinghouses (CentralReach experience a plus). Strong follow-through and persistence comfortable getting payers on the phone and staying on a claim until it's resolved. Excellent attention to detail and organizational skills; able to manage multiple payers, deadlines, and priorities at once. Clear written and verbal communication with families, staff, and insurance companies. Discretion and reliability when handling PHI and confidential financial information; understanding of HIPAA requirements.