Metro Vein Centers · 4 hours ago
Medical Claims Resolution Specialist
West Bloomfield, MI
Full-time
Hybrid
Entry, Mid Level
$20/hr - $22/hr
2+ years expMetro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. They are seeking a detail-oriented Claims Resolution Specialist to manage assigned claims, follow up on denials, ensure accurate and timely payment, and support the financial health of their clinics through effective payer engagement.
Health CareHospitalMedicalWellness
Responsibilities
Investigate and resolve claim denials and underpayments from insurance providers
Research payer-specific policies and submit accurate, timely appeals
Follow up on unpaid or delayed claims using payer portals and internal billing systems
Monitor aging reports and prioritize claims follow-up based on timely filing and payer deadlines
Perform insurance re-verification as needed and reprocess claims to appropriate payers
Accurately post payments and adjustments, including co-payments, deductibles, and coinsurance
Support billing operations, including charge entry, rejection resolution, and documentation reviews
Collaborate with internal teams to escalate payer issues and reduce future denials
Maintain meticulous records of follow-ups, appeal status, and payment resolutions in the EMR
Qualification
Required
2+ years of experience in medical billing, claims resolution, or insurance follow-up
Solid understanding of insurance guidelines, claim cycles, and payer behavior
Proficiency with CPT, ICD-10, and medical billing workflows
Comfortable using payer portals, EMR systems, and Excel/Google Sheets
Organized, self-motivated, and accountable with strong time management skills
Clear written and verbal communication when working with both payers and internal teams
High school diploma or equivalent required
Preferred
Familiarity with Centricity EMR
Previous experience in surgical or specialty practice billing
Knowledge of revenue cycle metrics and KPIs
Benefits
Medical, Dental, and Vision Insurance
401(k) with Company Match
Paid Time Off (PTO) + Paid Company Holidays
Company-Paid Life Insurance
Short-Term Disability Insurance
Employee Assistance Program (EAP)
Career Growth & Development Opportunities
Company
Metro Vein Centers
Metro Vein Centers offers varicose vein treatment that includes vascular surgery, radiofrequency ablation and laser treatment services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
D
Dmitri Ivanov
Executive Chairman
Recent News
Company data provided by crunchbase