Henry Ford Health · 7 hours ago
Billing Specialist II - Home Health Care - 40 Hours/Week
Detroit, Michigan
Full-time
Onsite
Entry, Mid Level
2+ years expHenry Ford Health is a healthcare organization, and they are seeking a Billing Specialist II to manage insurance accounts receivable. The role involves ensuring compliance in claims submissions, resolving payer denials, and enhancing billing processes through effective communication and problem-solving.
BiotechnologyHealth CareHealth InsuranceMedical
Responsibilities
Submit third party claim forms (i.e. UB04 or 1500) through the claims editing software. Understands the claim editing process and resolving the edits based on appropriate department procedures regarding claim submission
Evaluate and investigate appropriate actions to be taken in order to resolve outstanding receivables, in accordance with department goals. Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc
Understand and resolves third party rejections using the payer and the billing systems
Utilize various resources such as third party publications, procedure manuals and participating contractual agreements, etc
Working knowledge of internal and external revenue cycle systems to manage receivables
Expert knowledge in all claims processing, including claims submissions , denials, and follow up procedures used to train other team members
Independently interact with various levels of management , physicians , clinic personnel to identify process improvements to enhance billing processes
Represent the CBO in all communications with external customers, including patients, third party insurance companies, auditors, lawyers, etc. May also attend external seminars , medications, and court sessions
Ensure that all appropriate financial adjustments are posted accurately and in accordance with contracted payment rates, third party billing requirements, and HFHS policies and procedures
Evaluate and validate correct payments received from third party payers if necessary
Stay current with knowledge of payer and regulatory changes
Department liaison for assist with internal or external special projects. Responsible for providing feedback and statistics reflating to the project
Identify and resolve credit balances and understand the impact on patient responsibility and third party refunding
Meet established quality and productivity expectation
Identifies, resolves and reports potential issues to leadership
Supports the standards set forth in the HFHS Code of Conducts by adhering to legal and ethical standards
Performs other related duties as assigned
Qualification
Required
High school diploma or equivalent required
Two years of experience in an office environment or healthcare-related field required
Ability to communicate effectively with colleagues, supervisor, and manager
Ability to work independently
Strong organizational and time management skills required to effectively prioritize workflow to meet third party requirements
Preferred
Prior experience in a healthcare revenue cycle position
Knowledge of Medical terminology
Knowledge of CPT/HCPCS revenue codes
College course work in accounting, business or Health Care Administration
Company
Henry Ford Health
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10001+ employees
H1B Sponsorship
Henry Ford Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (212)
2024 (156)
2023 (134)
2022 (159)
2021 (140)
2020 (153)
Funding
Current Stage
Late StageTotal Funding
$40.27MKey Investors
Mort Harris
2020-06-04Grant· $0.27M
2018-04-09Grant· $20M
2016-12-05Grant· $20M
Leadership Team
Robert Riney
President and CEO
Recent News
2025-11-07
Company data provided by crunchbase