Role Description We are seeking a highly skilled and detail-oriented Medical Biller to join our client's growing team. This role is ideal for someone who thrives in a fast-paced environment and has strong experience managing the full medical billing lifecycle. You will play a key role in ensuring accurate billing operations, timely reimbursements, and effective communication with the clinic regarding billing matters. We’re looking for someone who is not only technically strong but also kind, responsive, and professional in all interactions. Scope of Work/Responsibilities - Manage the full medical billing lifecycle, including: - Claim submission - Payment posting and reconciliation - Denial management and follow-ups on unpaid claims - Perform denial and non-payment follow-ups to ensure maximum reimbursement - Generate and maintain billing reports and provide updates to the clinic - Communicate effectively with the clinic regarding billing issues and resolutions - Work with insurance providers including: - Medicare - Medicaid - UHC - ASH - Workers’ Compensation - Utilize billing platforms such as Availity, Waystar, RadMD, or similar tools - Maintain accuracy and attention to detail across all billing processes - Collaborate with team members and stakeholders to improve billing workflows - (Secondary Function – Preferred but not required) - Assist with benefits verification and pre-authorizations, or be open to learning these functions Qualifications - Medical education or degree: Not required - Previous experience as a Virtual Assistant: Preferred but not required - Medical license (e.g., RN, MD, PT): Not required Requirements - Must be highly proficient in spoken and written English - Must have relevant medical billing experience, especially end-to-end billing - Strong experience in denial management and follow-ups - Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding (mandatory) - Must be available for video meetings with camera on when needed Technical Requirements - Device: Reliable laptop or desktop computer - Internet: High-speed connection (minimum 10 Mbps) - Audio: Noise-canceling headset - Video: Webcam for virtual meetings - Workspace: Quiet, professional environment Additional Requirements - Strong attention to detail and organizational skills - Excellent communication and coordination abilities - Professional phone presence and interpersonal skills - Must be kind, pleasant, responsive, and easy to work with - Open to feedback and continuous learning Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.

Job Opportunity Job ID: 53463 Description: Positions Location: Lansing, MI Job Description General Purpose of Job: Extract and analyze clinical information and translate into the most accurate ICD-10-CM, CPT, and other specialized codes and modifiers to ensure appropriate reimbursement and accurate and reliable data for research, statistics, financial planning, compliance, and marketing. Make corrections to coding edits and charges. Utilizes Optum CAC in accordance with established workflow. Follows University of Michigan Medicine – Sparrow policies and procedures and maintains required quality and productivity standards. Essential Duties: This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position. - Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information and translates data into appropriate ICD-10-CM, CPT, and other specialized codes and modifiers for appropriate reimbursement, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third party payers. - Works under fast-paced circumstances to meet turnaround time requirements. Meets or exceeds departmental/unit performance standards. - Exercises independent judgment in determining case complexity by utilizing clinical knowledge in order to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded. - Researches complex diagnoses and/or procedures as needed to enhance coding knowledge to consistently apply the correct codes. - Identifies issues and makes recommendations for resolution and improvement. - Escalates patient safety, customer service, quality, and compliance concerns to leadership. Communicates with unit leadership regarding policy and procedures. - Interacts closely with providers and queries the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. - Expands job-related knowledge and skills by attending and participating in in-services and staff meetings. - Maintains currency with work processes, tools, and clinical and administrative applications necessary to perform job functions, including, but not limited to, keeping abreast of coding guidelines and quarterly Coding Clinic and monthly CPT Assistant. - Attends required system, hospital and departmental meetings and educational sessions as established by leadership, and completes required annual learning programs, to ensure continued education and growth. - Responsible for ensuring accuracy and maintaining established quality and productivity standards, as well as key performance indicators. - Demonstrates an understanding of University of Michigan Health - Sparrow departmental and unit policies and procedures and seeks clarification as needed. - Complies with regulatory, legal, and accreditation requirements and seeks clarification as needed. - Assures adherence with safety programs. Job Requirements General Requirements • Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Registered Health Information Management Technician (RHIT), or Registered Health Information Administrator (RHIA). • Member of the AHIMA in good standing (i.e., has paid dues and completed required continuing education) Work Experience • Minimum one (1) year recent facility coding experience. • Per diem candidates must have minimum three (3) years of recent outpatient and/or ED coding experience Education • High School Diploma/GED • Associate Degree in Health Information Technology/Management - preferred. Specialized Knowledge and Skills • Must pass departmental testing as follows: o Typing – 40 words per minute or better; Analytical skill – 70% or better; and Coding – 80% or better • Experience in a major academic medical center and ICD-10-CM and CPT - preferred. • Microsoft Office skill and experience (Word, Excel, and PowerPoint) - preferred. • Excellent computer skills and previous experience with computer-assisted-coding and encoder/grouper - preferred. UMH Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. Job Family Clinical Professional/Technical/Allied Health Requirements: Shift Days Degree Type / Education Level Associate Status Full-time Experience Level Under 4 Years

Your job is more than a job This position contributes to LCMC Health's financial strength, compliance and overall performance by serving as the System Manager Hospital Outpatient Coding. This manager is responsible for assisting in the development and evolution of the overall strategy of hospital coding operations. Maintains expert working knowledge of coding and classification systems used in health care to include ICD-10CM, HCPCS, CPT and APCs. In addition, the Hospital OP Coding System Manager is responsible for allocating work assignments for claim edits which include the Outpatient Code Editor (OCE), National Correct Coding Initiative (NCCI) and Medicare Code Editor (MCE). The manager serves as a liaison and coordinator for special projects regarding the coding of hospital outpatient medical records. This position develops and implements policies and procedures to achieve organizational goals; and provides the structure and strategy to meet hospital-based OP coding requirements across the system. The manager is responsible for the day-to-day supervision, management and daily operations of hospital OP coding services. This individual must have proven leadership and management skills to promote efficient, effective, and compliant assignment of hospital charge capture, diagnosis, procedure codes and modifiers which support the services provided. This individual is responsible for development of action plans for improvement and must have knowledge and job experience of management and supervision of personnel. WORK SHIFT: Days (United States of America)LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary Your extras - Deliver healthcare with heart. - Give people a reason to smile. - Put a little love in your work. - Be honest and real, but with compassion. - Bring some lagniappe into everything you do. - Forget one-size-fits-all, think one-of-a-kind care. - See opportunities, not problems – it’s all about perspective. - Cheerlead ideas, differences, and each other. - Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers. This role focuses heavily on denial management, claim follow-up, and reimbursement optimization while ensuring compliance with payer contracts, federal regulations, and internal policies. Key Responsibilities Billing & Claims Submission - Prepare, review, and submit hospital and RHC claims to commercial insurance carriers. - Ensure correct use of CPT, HCPCS, ICD-10, revenue codes, modifiers, and RHC-specific billing requirements. - Verify charges, units, dates of service, provider credentials, and place of service. - Submit corrected, adjusted, and late charges as needed. Denial Management - Analyze and resolve billing denials, rejections, and underpayments. - Identify root causes of denials (coding, authorization, eligibility, medical necessity, bundling, timely filing, etc.). - Prepare and submit corrected claims and formal appeals with appropriate documentation. - Track denial trends and recommend process improvements to reduce future denials. Insurance Follow-Up - Conduct timely follow-up with payers on unpaid, underpaid, or delayed claims. - Communicate with insurance representatives to obtain claim status and resolution. - Maintain detailed notes and documentation in the billing system for all follow-up activity. - Meet productivity and follow-up benchmarks to ensure timely reimbursement. Compliance & Collaboration - Ensure compliance with payer guidelines, hospital policies, and RHC billing regulations. - Work closely with coding, registration, authorization, and clinical staff to resolve billing issues. - Stay current on payer policy updates and RHC billing changes. Required Skills & Qualifications - Knowledge of hospital and RHC billing processes. - Strong experience with insurance billing and denial resolution. - Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers. - Familiarity with payer portals and claim management systems. - Strong analytical, organizational, and follow-up skills. - Ability to manage high-volume workloads with attention to detail. Business Support