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Medical Business Office Rep/Billing Rep

Location : Lake Orion, MI
Job Type : Contract to Direct
Reference Code : 21516
Hours : Full Time
Required Years of Experience : 2+
Required Education : HS diploma or equivalent
Travel : No
Relocation : No
Job Category : Healthcare - Business Office & Finance

Job Description :

Our client is looking to add a Medical Biller to their Business Office team in Lake Orion, MI.


This contract position is currently budgeted for 13 weeks with potential for direct hire an offers a pay rate of $21/hour.


The Business Office Representative/Medical Biller is responsible for managing the various Business Office Duties. They will function as the primary source of information on all federal, state, and payer-specific skilled nursing facilities accounts receivable and billing regulations.


Responsibilities include but are not limited to:

  • Coordinates with Admissions the appropriate pay source for new admits, re-admits, Therapeutic Leaves, and Hospital Leaves.

  • Obtains and verifies new patient’s insurance information and reporting census information as requested.

  • Consults with residents, families, the DHHS case manager, and resident attorneys to identify appropriate insurance plans for billing, ensures documentation is complete, and ensures the Medicaid approval process is acquired within the time allowed.

  • Audits Admissions, Social Services, and MDS clinical data requirements to ensure compliance with Medicare A, B, C, and Medicaid Accounts Receivable regulations.

  • Posts all cash and follow-up on missing payments or short payments including identifying uncollectable accounts and prepare documentation to submit to the collection agency.

  • Reviews denied claims or denied prior authorizations. Acquires the appropriate documentation to appeal or challenge denial.

  • Audits weekly patient’s insurance coverage and meet with Interdisciplinary Team to verify PPS requirements are being reviewed.

  • Validates ancillary charges and ICD-10 codes before processing claims.

  • Prepares monthly invoices for private pay residents and submit hospice reconciliation report to hospice vendors.

  • Performs other related duties as required and directed.



Required Qualifications :


  • 2+ year of experience - Required

  • High School Grad or GED - Required

  • Healthcare experience- Required

  • UBO4 experience - Preferred 

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