Medical Billing Specialist
WR Specialists, LLCAnn Arbor, MI, US- Full-time
Job Description
Job Description
Who We Are
Proventus is a medical device company headquartered in Ann Arbor, MI. We offer world class multi-modal post-op pain management for orthopedic excellence. We focus on systems that improve patient recovery and practice management. We do all of this while combating the Opioid Epidemic. We are located in the heart of downtown Ann Arbor, MI and we are looking for a full-time Medical Billing Specialist. Hybrid work is available, prefer candidates in Metro Detroit Area and Grand Rapids.
We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.
What You'll Do
- Prepare bills and invoices, and document amounts due to medical procedures and services using correct billing codes
- Field inbound / outbound calls to / from insurance companies
- Distribute and document information obtained via phone, fax and email
- Verify patient information and perform data entry with a focus on accuracy
- Collect and review referrals and pre-authorizations by communicating with nurse case managers and adjusters via phone
- Investigate and appeal denied claims
- Audit records to ensure proper submission of services prior to submitting claim to payor
- Collaborate with team to improve processes and efficiencies
- Ensure compliance with state and federal regulations
- Following up on EOBs
- Additional tasks may be assigned outside of regular job duties
- Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation
What You'll Bring
Job Type : Full-time
Flexible work from home options available.