Billing Specialist in Sylvan Lake, Michigan at Violet Health PC

**MUST RESIDE IN MICHIGAN**

At Violet Health, we are dedicated to providing accessible, high-quality, patient-centered care. We believe that behind every clinical interaction is a supportive administrative framework that ensures seamless operations, clear communication, and financial transparency for the patients and communities we serve.

We are looking for a detail-oriented, analytical Medical Billing Specialist to manage our end-to-end billing cycle. In this role, you will be responsible for submitting claims, monitoring account receivables, resolving billing discrepancies, and serving as a compassionate point of contact for patient billing inquiries. The ideal candidate brings a solid understanding of medical coding, payer guidelines, and healthcare compliance.

• Claims Processing: Review, generate, and submit electronic and paper claims to commercial insurance payers, Medicaid, and Medicare.
• Payment Posting & Reconciliation: Accurately post payments, adjustments, and write-offs to patient accounts from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
• Denial & Rejection Management: Investigate rejected or denied claims, prepare appeals, correct billing errors, and resubmit claims in a timely manner.
• Accounts Receivable (A/R) Follow-Up: Monitor aging reports and actively pursue outstanding balances from payers and patients.
• Patient Support: Address patient inquiries regarding statements, copays, deductibles, coverage benefits, and payment arrangements with professionalism and empathy.
• Compliance & Data Integrity: Maintain strict adherence to HIPAA regulations, patient privacy guidelines, and current billing regulations.

• Experience: 2+ years of medical billing, claims processing, or revenue cycle management (RCM) experience.
• Knowledge Base: Familiarity with ICD-10, CPT, and HCPCS coding systems, as well as payer-specific submission guidelines.
• Software Proficiency: Hands-on experience with Electronic Health Record (EHR) and Practice Management (PM) software (e.g., Athenahealth, Epic, Kareo, or AdvancedMD).
• Skills: Strong numerical aptitude, problem-solving skills, and clear verbal and written communication.
• Certifications (Preferred): Certified Professional Biller (CPB) or Certified Billing and Coding Specialist (CBCS) is a plus.
• Education: High school diploma or equivalent required; associate degree in healthcare administration or related field preferred.

• Competitive base salary commensurate with experience.
• Comprehensive health, dental, and vision insurance.
• 401(k) plan starting January 2027
• Generous paid time off (PTO) and paid holidays.