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We are looking for a detail-oriented Medical Billing Specialist to support a nonprofit healthcare-focused organization in Auburn Hills, Michigan. This Contract position is ideal for someone who brings strong experience with Medicaid-related billing activity, including eligibility review and financial determination processes. The successful candidate will be comfortable working independently, resolving billing issues efficiently, and adapting quickly in a fast-paced environment.
Job Responsibility:
Review Medicaid eligibility cases and complete financial assessments, including spend-down evaluations, with accuracy and timeliness
Prepare, submit, and monitor medical claims to help ensure proper reimbursement and reduce payment delays
Investigate outstanding accounts and perform follow-up activities to address denials, underpayments, and unpaid balances
Apply medical billing and coding knowledge to maintain compliant claim documentation and support clean claim submission
Communicate with payers, internal staff, and relevant stakeholders to clarify claim issues and secure needed information
Maintain organized records of billing activity, eligibility decisions, claim status updates, and collection efforts
Identify discrepancies in account information and take corrective action to improve billing accuracy and account resolution
Requirements:
At least 2 years of experience in medical billing, accounts receivable follow-up, or a closely related healthcare revenue cycle role
Hands-on experience with Medicaid billing, including eligibility review and financial determination processes
Working knowledge of medical claims processing, collections, and billing documentation standards
Familiarity with medical coding concepts and their impact on claim accuracy and reimbursement
Ability to work independently, manage priorities effectively, and learn new processes quickly
Strong attention to detail with the ability to identify errors, research issues, and resolve problems efficiently