79 jobs found in Livonia, MI

Overview Job Title: Medical Biller and Office Manager Location: Livonia Job Type: Full-time Job Summary We are seeking a highly organized and detail-oriented individual to join our healthcare team as a Medical Biller and Office Manager . This position is responsible for managing all aspects of medical billing, coding, and insurance claims while ensuring the smooth day-to-day operations of the office. The ideal candidate will possess strong administrative skills, be proficient in medical billing software, and have a deep understanding of medical insurance policies and compliance standards. Responsibilities Medical Billing & Coding: Accurately review patient records to ensure proper coding of diagnoses, procedures, and treatments. Submit insurance claims and follow up on outstanding claims. Ensure that billing procedures comply with healthcare laws, regulations, and insurance policies. Monitor and track patient accounts to verify that payments are made timely....

Employment Opportunities Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Essential Functions: Knows, understands, incorporates, and demonstrates the Trinity...

Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a medical coder on our team, you ensure our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills - which you'll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. Duties & responsibilities Review health insurance EOB's (Explanation of Benefits) on excess claims to ensure proper payment Ensure AOB (Assignment of Benefits) has been submitted to provider (in...

Job Description Job Description We are seeking a full time Medical Biller on site and in person for a fast pace multi-specialty full Service Medical Billing Company. Successful candidates must have a solid working knowledge of insurance plans with the ability to accurately reconcile physician charges, carrier payments and rejections. Strong professional communication and analytical skills are required. 2 years experience at least within a Medical Billing Environment. Salary commensurate with experience and certification. Limited positions available. Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's. Company Description Fast paced multi-specialty billing office. Must be organized and a team player. Experience with teams application, Carrier websites and hospitals website's.

Job Description Job Description Resolution Medical Billing Services Inc. has been in business for over 25 years, and we are currently seeking talented, certified, or experienced Medical Billers to join our team as an Insurance Posters or Charge Entry Biller. We offer hybrid work schedules with flexible hours for both full-time and part-time positions. Compensation starts at $20 per hour and includes benefits. We are looking for candidates with experience in the following areas: - Posting charges - Knowledge of modifiers - Posting insurance payments - Working rejections and accounts receivable reports If you are interested in this opportunity, please send your resume to shalena@rmbsinc.net or fax it to 734-629-4147. Company Description Detail-driven medical billing professional needed to ensure accurate claims, timely reimbursements, and compliance while supporting high-quality customer service. Company Description Detail-driven medical billing professional needed to...

DRG Coding Auditor Principal Virtual:? ?? This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Medical Coder History of the Company: Superior Ambulance Service started in 1959 with one ambulance and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed EMTs, Paramedics and Nurses, operating a fleet of more than 800 ambulances throughout Illinois, Indiana, Ohio, Michigan, and Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. We are currently looking for a Medical Coder for our Billing Department. Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual. This position is fully in-office Monday through Friday in Elmhurst, IL or Taylor, MI. Responsibilities The primary duties and responsibilities of the Medical Biller and Coder consist of, but are not limited to the following: Reviews patient care report thoroughly, utilizing all available...

Job Description Job Description Certified Home Health Coder & QA Specialist Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis guidelines. Performs other related duties as requested by the Home...

Benefits: 401(k) ' St. Marie's Hospice is seeking a experienced medical biller for its tea. Th Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary The Medical Biller is responsible for the accurate and timely submission of hospice claims in compliance with Medicare, Medicaid, and other payer regulations. This position plays a critical role in maintaining cash flow, regulatory compliance, and financial integrity for the organization. The Medical Biller will manage all aspects of the billing cycle, including Notice of Election (NOE) filings, claims submission (UB-04), payment posting, denial management, accounts receivable follow-up, and hospice cap tracking. The ideal candidate has direct experience with Medicare hospice billing requirements and understands the regulatory framework governing hospice reimbursement. This role requires strong attention to detail, knowledge of CMS Hospice Conditions of...

Join to apply for the Medical Billing and Coding Specialist role at North West Labs . 2 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. This range is provided by North West Labs. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $20.00/hr - $20.00/hr Responsibilities: Maintain proper filing procedures; keeping all records in their proper area(s). Maintain the billing log by entering all correct information and updating notes accordingly. Record information given by accessioning, and enter the information into the proper programs. Verify patients' insurances, through web-portals or phone, and enter the information into the proper programs. Save all insurance verification in LabDaq. Complete the “clean-up” list promptly when given by the third-party billing company. Follow up after 90 days for auto and workers' compensation claims. Follow up on all claim...

Certified Home Health Coder & QA Specialist 4 months ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Become a part of the Hope At Home Family! We currently have a position available for a Certified Home Health Coder & QA Specialist. Position Summary: Certified Home Health Coder & QA Specialist is required to have PDGM, Oasis D1 experience, and Kinnser software knowledge. Home Health Coder is responsible for coding using ICD-10 all diagnoses and applicable procedures of skilled service visits. The position is also responsible for reviewing OASIS and abstracting visit data for billing and data collection purposes. Responsibilities: Codes records using ICD-10-CM and coding guidelines. Reviews OASIS. Observes and report unusual patterns in data collection and/or lack of adequate documentation for code assignments. Review documentation and provide ICD-10 coding recommendations based on current coding and Oasis...

Novi, Michigan Administrator Direct Professional Review Nurse - Certified Professional Coder (CPC) Direct Hire Hybrid - 1 day a week in Novi Michigan Job Details The Professional Review Specialist provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Audit and analyze medical billing inaccuracies and inappropriate charges Make decisions regarding appropriateness of billing, delivery of care and treatment plans Collaborate with claims examiner/client and or direct reporting manager on claim issues and/or decisions Appropriately document work and final conclusions in designated computer program Work independently, follow process guidelines, meet productivity standards and timelines. (Must maintain a score of 98% or higher on performance audits) KNOWLEDGE & SKILLS:...

A major automotive supplier in Novi, Michigan, is seeking a Bilingual (Japanese-English) Compliance Auditor to assess internal controls and develop audits for compliance. The candidate should have a Bachelor’s degree, 2-3 years of experience in compliance auditing, and be fluent in both Japanese and English. This role involves creating audit reports and providing recommendations for operational improvements. #J-18808-Ljbffr

Bilingual (Japanese-English) Compliance Auditor Lingua Science is recruiting for a direct hire position of bilingual (Japanese-English) Internal Compliance Auditor I or Internal Compliance Auditor II at a major automotive supplier in Novi, Michigan. Duties: Responsible for company assessing internal controls, risk, information security, and overall corporate governance for North American operations. Develop and implement audits to review internal compliance with laws, regulations, and industry standards, and verify adherence to corporate policies and ethical standards. Develop and implement audits to assess business operation efficiency and effectiveness. Assess the security of the company’s information systems, data, and technology infrastructure. Provide recommendations to optimize processes and productivity. Conduct reviews of operations to identify areas for improvement and cost savings. Coordinate with various groups for improvement activities and monitor progress. Create...

A logistics company in Romulus, MI is seeking a Vendor Compliance Auditor to ensure the quality of incoming loads and compliance with established standards. Key responsibilities include observing loads on arrival, identifying violations, documenting root causes, and communicating issues effectively. This role requires a detail-oriented individual capable of using various tools to gather evidence for reporting violations. Competitive hourly pay is offered. #J-18808-Ljbffr

Overview Shift: 4:00am-Finish 10:00pm-Finish Schedule set at time of hire Compensation: $18.00 / Hourly Romulus, MI Pay: $18.00 / Hourly 4:00am-Finish | 10:00pm-Finish | Schedule set at time of hire Job Details Vendor Compliance Auditor JOB SUMMARY JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES None ESSENTIAL FUNCTIONS Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations #J-18808-Ljbffr

Overview Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states , and still growing, we’re building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment. We proudly maintain a Net Promoter Score (NPS) of 93 , the highest patient satisfaction in the industry. Responsibilities Review patient records and accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments. Maintain up-to-date knowledge of coding standards, medical terminology, relevant regulatory requirements, and internal MVC policies. Collaborate with healthcare providers to clarify information and ensure complete...

A healthcare practice in West Bloomfield Charter Township is looking for a Medical Coder responsible for accurate coding of diagnoses and treatments. Candidates should have in-depth knowledge of ICD-10, CPT, and HCPCS coding systems, along with certifications like CPC or CCS. This role requires strong attention to detail, medical coding experience, and proficiency in EMR systems. The practice emphasizes compassionate patient care and teamwork, valuing each interaction. #J-18808-Ljbffr

Job Description Job Description Neurology and pain management office is seeking an experienced medical biller. The ideal candidate will have a strong background in medical billing and coding, with the skills necessary to increase collections and reduce A/R days by effectively working denied claims. The successful applicant must have excellent communication skills, be a great team player and demonstrate a high level of professionalism. 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 Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient Research payer guidelines and write and submit appeals...

A leading digital health company is seeking a Certified Coder to join their Pre-Billing team in Royal Oak, MI. This full-time role plays a crucial part in ensuring accurate billing for telehealth services. The ideal candidate will have 2-4 years of medical coding experience and relevant certifications. Responsibilities include reviewing documentation, assigning codes, and collaborating with clinical teams to improve claims accuracy. The company offers a supportive culture and professional growth opportunities. #J-18808-Ljbffr

Certified Coder - Billing Onsite - Royal Oak, MI About Sciometrix Sciometrix is a leading digital Health company looking for RN Case Manager Spanish. We are a leader in Telehealth -healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers, peers, and patients for clinical excellence, patient experiences, and provider satisfaction. Since the inception of our patient count, technological solutions have been evolving. We empower healthcare providers with advanced technology and human expertise, revolutionizing a patient's experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAA-compliant Clinicus, an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patient's vitals and alerts our licensed team when a patient's program progress or vitals are...

Job Description Job Description Description: HIRING REMOTE EXPERIENCED BILLERS IN THE FOLLOWING STATES: AL,FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV ***** MI RESIDENTS WITHIN 40 MILES OF 48393 WILL BE HYBRID New Year NEW CAREER! Are you an Experienced Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT? APPY NOW! - Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!! NEW HIRE ORIENTATION STARTS 2/18/2026! The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving all insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal carrier denials through coding review, contract review, medical record review, and carrier interaction. Utilize a multitude of resources to ensure correct appeal processes are followed...

Our Revenue Cycle Team wants to meet YOU! Join us at our job fair on February 25. Register here. Revenue Cycle Hiring Event | Henry Ford Health - Detroit, MI) GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE...

Behavioral Health Provides on-site support and directs resources for DTE Energy Medical Services on behalf of Henry Ford Employee Solutions. Responsible for coordinating quality assurance; insuring that proper medical surveillance procedures are followed and regulatory bodies are adhered to; monitoring supplies and services for the company in a fiscally prudent manner, and providing education and development opportunities in support of a superior medical services for DTE Energy. EDUCATION & EXPERIENCE: Registered Nurse (RN) with current license in the State of Michigan required. Demonstrable knowledge and experience in medical Case Management Certification desired. Demonstrable knowledge and experience related to OSHA, MIOSHA, DOT and other regulatory and safety governing bodies. Preferred five or more years of progressive experience with a minimum of five years clinical experience as an RN Occupational Health experience preferred. Previous supervisory experience in...