Silver Pine Medical Group
Sterling Heights, MI
Job Summary The Billing Specialist is responsible for preparing, submitting, and following up on claims to ensure accurate and timely reimbursement from insurance companies, government programs, and patients. This role plays a critical part in the financial cycle of healthcare delivery by managing the billing process from claim creation to payment resolution.
Responsibilities Keys charge information into entry program and produces billing.
Assists in the processing of insurance claims including Medicare, HMO and commercial claims.
Follow up on unpaid claims within standard billing cycle time frame.
Resolve billing issues and resubmit denied or rejected claims.
Work closely with patients to explain charges, set up payment plans, and collect outstanding balances.
Verify insurance benefits and eligibility as needed.
Stay updated on payer regulations, coding guidelines, and billing best practices.
Collaborate with clinical documentation specialist, front desk, communication center...