Medical Biller
Medical Biller
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Location: Thrive2Liv Headquarters Ann Arbor MI Remote Eligible
Reports To: Revenue Cycle Manager or Director of Finance
Employment Type: Full-Time
About Thrive2Liv Powered by Philips
Thrive2Liv powered by Philips is a people-centered healthcare platform that delivers mobile virtual and community-based care to underserved and dual-eligible populations. Our integrated model addresses barriers to care by combining technology clinical excellence and personalized service to improve access outcomes and equity.
Position Summary
The Medical Biller is responsible for accurately preparing submitting and following up on healthcare claims to ensure timely reimbursement from payers. This role plays a vital part in the revenue cycle process by ensuring all billing activities are compliant efficient and accurate. The ideal candidate has a strong knowledge of medical billing procedures attention to detail and a commitment to supporting access to quality care.
Key Responsibilities
Claims Processing & Submission
- Prepare and submit clean claims to private insurance Medicare Medicaid and other third-party payers.
- Verify accuracy of billing data CPT/HCPCS codes modifiers and patient information.
Payment Posting & Reconciliation
- Post payments adjustments and denials in the billing system.
- Reconcile patient accounts and resolve discrepancies in a timely manner.
Denial Management & Follow-Up
- Review and appeal denied or unpaid claims with appropriate documentation.
- Follow up with payers and patients to ensure proper claim resolution.
Compliance & Documentation
- Ensure billing practices adhere to HIPAA CMS guidelines and payer-specific requirements.
- Maintain accurate and organized documentation and records.
Coordination & Communication
- Collaborate with clinical front desk and finance staff to resolve billing issues.
- Provide billing support and education to patients when needed.
Reporting & Performance Tracking
- Generate reports on billing activities claim status and revenue trends.
- Assist with audits and provide insights for improving billing efficiency.
Qualifications
Education:
- High school diploma or equivalent required.
- Certification in medical billing and coding (e.g. CBCS CPB CPC) preferred.
Experience:
- 2-4 years of experience in medical billing preferably in a clinical or mobile healthcare setting.
- Familiarity with Medicaid/Medicare billing managed care and value-based care models is a plus.
Skills:
- Strong attention to detail accuracy and time management.
- Excellent written and verbal communication skills.
- Proficiency in billing software EHR systems and Microsoft Office.
Knowledge:
- Understanding of ICD-10 CPT HCPCS coding insurance authorization and healthcare compliance.
- Knowledge of revenue cycle workflows and patient billing practices.
Employment Type
Full Time
