Michigan Orthopaedic Surgeons
Who We Are
As the largest and most comprehensive orthopaedic team in the state, we bring together the medical expertise of leading orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. Every provider in our network shares a deep commitment to leadership in education, innovation, and research, and a dedicated focus on prioritizing patient care across the treatment continuum.
Why Join Us?
Interested in orthopaedics? Discover why it's worth pursuing with us. Our career opportunities offer competitive salaries, outstanding benefits, and a platform to pursue your passion. As Michigan's largest and most comprehensive orthopaedic team, we are actively seeking skilled and enthusiastic individuals to join us today.
Position Summary
The Medical Biller is responsible for the accurate billing and collection of claims for services rendered by healthcare providers. This role reviews charges and coding, resolves claim edits and billing discrepancies, corrects patient and insurance information, and supports timely submission of clean claims and follow-up on outstanding payments.
Success in this role requires strong medical billing knowledge, attention to detail, problem-solving ability, productivity, and a commitment to HIPAA compliance and patient confidentiality.
Key Responsibilities
Claims Review & Billing
- Review charges, CPT coding, and ICD-10 coding in the electronic chart and compare charges to documentation when necessary.
- Review and correct front-end edits and other billing issues to support clean, timely claim submission.
- Review medical necessity criteria and address claim issues that may affect reimbursement.
- Support timely submission of claims and follow up on outstanding payments.
Patient Account & Insurance Accuracy
- Identify and correct errors in patient accounts, demographics, and insurance policy numbers.
- Investigate and resolve billing discrepancies accurately and efficiently.
- Maintain accurate billing and insurance information throughout the claims process.
Payer Tools & Revenue Cycle Support
- Efficiently use insurance company online features and payer portals, including services such as Availity.
- Use electronic healthcare and billing systems to review documentation, patient accounts, and claim information.
- Participate in educational activities to remain current on coding changes and billing requirements.
Compliance, Productivity & Team Support
- Prioritize work effectively and meet established productivity standards.
- Identify problem trends, communicate them to the supervisor promptly, and actively seek solutions.
- Maintain a courteous and professional demeanor when working with others.
- Follow HIPAA, organizational policies, legal guidelines, and patient confidentiality requirements.
- Perform other duties as assigned.
What Success Looks Like
Successful Medical Billers:
- Produce accurate, clean claims and support timely claim submission.
- Apply working knowledge of CPT and ICD-10 coding when reviewing charges and documentation.
- Recognize and resolve claim edits, account errors, insurance issues, and billing discrepancies.
- Use payer portals and electronic healthcare systems efficiently.
- Consistently demonstrate attention to detail, productivity, problem-solving, professionalism, and accountability.
- Protect patient confidentiality and consistently follow HIPAA requirements.
Education, Experience, Licenses & Certifications
- High School Diploma or GED.
- Medical office experience required.
- Strong attention to detail, prioritization, problem-solving, and computer skills.
- Working knowledge of HIPAA and patient confidentiality requirements.
Preferred
- Previous medical billing or healthcare claims processing experience.
- Experience reviewing CPT and ICD-10 coding and resolving claim edits.
- Experience with payer or insurance portals, including Availity.
- Experience correcting patient demographics, insurance information, and patient account errors.
- Experience working with Electronic Health Record (EHR), practice management, or medical billing systems.
- Medical billing or coding certification, such as CPC, CCS, CCA, or CPB.
What We're Looking For
We are looking for someone accurate, dependable, detail-oriented, and committed to supporting an efficient revenue cycle. The ideal candidate understands medical billing and claims workflows, approaches discrepancies with a problem-solving mindset, manages priorities effectively, communicates professionally, adapts to coding and payer changes, and works collaboratively to support the financial health of the organization.
Michigan Orthopaedic Surgeons is an inclusive and equal opportunity employer.
