Job Description
Join our dynamic finance team as a Billing Specialist at Metro Health Solutions! We're seeking a detail-oriented professional to manage revenue cycle operations for our growing healthcare network. This critical role ensures accurate billing, coding compliance, and financial integrity while supporting our mission of accessible healthcare for Detroit communities. Enjoy competitive compensation, comprehensive benefits, and a collaborative workplace culture focused on excellence and innovation.
Responsibilities
- Process and submit insurance claims with 95%+ accuracy across multiple payers
- Resolve billing discrepancies and patient account inquiries within 24 hours
- Ensure compliance with HIPAA, CMS, and private insurance regulations
- Reconcile accounts receivable reports and identify aging opportunities
- Collaborate with clinical teams to verify patient eligibility and coverage
- Generate monthly billing performance metrics and improvement reports
- Maintain electronic health record (EHR) billing system integrity
Qualifications
- 3+ years of medical billing experience in a healthcare setting
- Certified Professional Biller (CPB) or CPC certification preferred
- Expertise in CPT, ICD-10, and HCPCS coding systems
- Advanced proficiency in Epic or NextGen EHR platforms
- Strong analytical skills with attention to detail
- Experience with Medicaid/Medicare and commercial insurance
- Bachelor's degree in Healthcare Administration or related field