<h1>Medical Billing - Claims Resolution Specialist</h1><h2>Metro Vein Centers</h2><p>West Bloomfield Township, MI</p><p><b>Job Details</b></p><p>Full-time</p><p>From $22 an hour</p><p>2 hours ago</p><p><b>Qualifications</b></p><p>Revenue cycle management ICD coding Mid-level High school diploma or <h5>GED ICD-10</h5> Medical billing CPT coding 2 years Marketing</p><p><b>Full Job Description</b></p><p>Medical Billing - Claims Resolution Specialist Metro Vein Centers Hybrid in West Bloomfield, MI Starting at $22 and Up Based on Experience Healthy legs feel better. Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people's quality of life by relieving the often painful and highly treatable symptoms of vein disease—such as varicose veins and heavy, aching, swollen legs. We currently operate 50+ clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide.</p><p>Metro Vein Centers At-A-Glance Welcome to vein care done differently. We're the fastest growing vein practice in the US—celebrating more successful organic expansion than our top 5 competitors combined. Our proven capital-efficient, de novo growth strategy has enabled us to open 30+ clinics in the last two years, funded entirely through positive cash-flow. Our differentiated brand and sophisticated digital marketing strategy fuels our rapid expansion. Our physicians are empowered to solely focus on patient-care, with full admin and clinical staff support, marketing and patient experience best practices, and end-to-end Revenue Cycle Management all powered by Metro Vein Centers HQ. We proudly maintain both a best-in-class physician retention rate and an NPS of 93 across 150,000 annual patient visits—the highest patient satisfaction in the industry.</p><p>How You'll Make a <h5>Difference:</h5> As the Claims Resolution Specialist at Metro Vein Centers, you will play a key role in ensuring accuracy and efficiency in claim resolutions and the billing processes. You will be responsible for managing and optimizing the claims assigned to you. This position demands...</p><ul><li>Investigate and resolve payment denials from insurance providers</li><li>Research payer guidelines and write and submit appeals as appropriate.</li><li>Follow up with insurance companies on unpaid claims and process next steps accurately</li><li>Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified.</li><li>Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly.</li><li>Performing all aspects of medical billing including but not limited to charge entry, posting insurance payments, rejections, follow up, and prior authorizations.</li><li>Additional Duties as assigned</li></ul><h5>Competencies:</h5><ul><li>Knowledge of CPT and ICD-10 coding practices and procedures.</li><li>Results oriented and accountability.</li><li>Checks on own work to ensure all steps are completed accurately, takes action to correct work, and takes pride and ownership in one's work.</li><li>Knowledgeable in working within payer portals.</li></ul><p><b>Required education and experience</b></p><ul><li>High school diploma or GED.</li><li>2 years experience in processing medical billing; health insurance denials, claims processing, benefits and application of the same. Such as; co-payments, deductibles, co-insurance, out-of-pocket maximums, etc.</li><li>2 years experience with computers. Including; the functionality of spreadsheets, navigating the internet, websites and basic use of a calculator.</li></ul>

Medical Billing - Claims Resolution Specialist Metro Vein Centers - 3.2 West Bloomfield Township, MI Job Details Full-time From $22 an hour 2 hours ago Qualifications Revenue cycle management ICD coding Mid-level High school diploma or <h5>GED ICD-10</h5> Medical billing CPT coding 2 years Marketing Full Job Description Medical Billing - Claims Resolution Specialist Metro Vein Centers Hybrid in West Bloomfield, MI Starting at $22 and Up Based on Experience Healthy legs feel better. Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people's quality of life by relieving the often painful and highly treatable symptoms of vein disease—such as varicose veins and heavy, aching, swollen legs. We currently operate 50+ clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide. Metro Vein Centers At-A-Glance Welcome to vein care done differently. We're the fastest growing vein practice in the US—celebrating more successful organic expansion than our top 5 competitors combined. Our proven capital-efficient, de novo growth strategy has enabled us to open 30+ clinics in the last two years, funded entirely through positive cash-flow. Our differentiated brand and sophisticated digital marketing strategy fuels our rapid expansion. Our physicians are empowered to solely focus on patient-care, with full admin and clinical staff support, marketing and patient experience best practices, and end-to-end Revenue Cycle Management all powered by Metro Vein Centers HQ. We proudly maintain both a best-in-class physician retention rate and an NPS of 93 across 150,000 annual patient visits—the highest patient satisfaction in the industry. How You'll Make a <h5>Difference:</h5> As the Claims Resolution Specialist at Metro Vein Centers, you will play a key role in ensuring accuracy and efficiency in claim resolutions and the billing processes. You will be responsible for managing and optimizing the claims assigned to you. This position demands... Investigate and resolve payment denials from insurance providers Research payer guidelines and write and submit appeals as appropriate. Follow up with insurance companies on unpaid claims and process next steps accurately Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified. Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly. Performing all aspects of medical billing including but not limited to charge entry, posting insurance payments, rejections, follow up, and prior authorizations. Additional Duties as assigned <h5>Competencies:</h5> Knowledge of CPT and ICD-10 coding practices and procedures. Results oriented and accountability. Checks on own work to ensure all steps are completed accurately, takes action to correct work, and takes pride and ownership in one's work. Knowledgeable in working within payer portals. Required education and experience High school diploma or GED. 2 years experience in processing medical billing; health insurance denials, claims processing, benefits and application of the same. Such as; co-payments, deductibles, co-insurance, out-of-pocket maximums, etc. 2 years experience with computers. Including; the functionality of spreadsheets, navigating the internet, websites and basic use of a calculator.