Who We Are Proventus is a medical device company headquartered in Ann Arbor, MI. We offer world class multi-modal post-op pain management for orthopedic excellence. We focus on systems that improve patient recovery and practice management. We do all of this while combating the Opioid Epidemic. We are located in the heart of downtown Ann Arbor, MI and we are looking for a full-time Medical Billing Specialist. Hybrid work is available, prefer candidates in Metro Detroit Area and Grand Rapids.
We offer a best-in-class benefits package with a flexible work environment. Our culture is one of caring and collaboration, and we enjoy a team-oriented environment.
What You'll Do
Prepare bills and invoices, and document amounts due to medical procedures and services using correct billing codes
Field inbound/outbound calls to/from insurance companies
Distribute and document information obtained via phone, fax and email
Verify patient information and perform data entry with a focus on accuracy
Collect and review referrals and pre-authorizations by communicating with nurse case managers and adjusters via phone
Investigate and appeal denied claims
Audit records to ensure proper submission of services prior to submitting claim to payor
Collaborate with team to improve processes and efficiencies
Ensure compliance with state and federal regulations
Following up on EOBs
Additional tasks may be assigned outside of regular job duties
Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation
What You'll Bring
High School Diploma (or equivalent); college degree preferred
1-3 years’ experience in medical billing
A positive approach to daily tasks and strong work ethic
Strong analytical skills, a solution-oriented approach, with excellent follow-up skills, strong time management, a sense of urgency and the ability to shift gears frequently throughout the day
Strong organizational and prioritization skills
Excellent verbal and written communication skills
Strong typing skills
Prefer experience with ICD-10 and HCPC coding
Job Type: Full-time
Flexible work from home options available.