Medical Biller
WRS Group · Ann Arbor, MI · 3 wk ago
HybridFull-time
US Workers Billing leverages deep knowledge of the workers’ compensation industry to ensure efficient invoice routing and timely reimbursement. Headquartered in Ann Arbor, MI, we foster a culture of caring and collaboration in a team-oriented environment.
About the role
Full-time, hybrid position requiring 2 days per week in our Ann Arbor office. You must be able to come to Ann Arbor for training and for company meetings and events.
Responsibilities
- Review 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.
- Monitor 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.
- Handle inbound and outbound calls with insurance carriers and payers.
- Respond to inquiries via phone, fax, and email.
- Accurately document all communications and claim activity.
- Partner with team members to improve workflows and operational efficiencies.
- Maintain compliance with payer guidelines and state and federal regulations.
- Demonstrate core values of Caring, Collaboration, Trustparency, and Innovation.
Requirements
- 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 Like
Within 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.
Benefits
We offer a best-in-class benefits package.