Position Overview
Description 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.
Responsibilities:
• 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 suppor...