Medical Billing Specialist

Description We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment.

Responsibilities:

• Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness.
• Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays.
• Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances.
• Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission.
• Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information.
• Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts.
• Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution. Requirements
• At least 2 years of experience in medical billing, accounts receivable follow-up, or a closely related healthcare revenue cycle role.
• Hands-on experience with Medicaid billing, including eligibility review and financial determination processes.
• Working knowledge of medical claims processing, collections, and billing documentation standards.
• Familiarity with medical coding concepts and their impact on claim accuracy and reimbursement.
• Ability to work independently, manage priorities effectively, and learn new processes quickly.
• Strong attention to detail with the ability to identify errors, research issues, and resolve problems efficiently.

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