Click this LINK to apply! 

Department Description

Cornerstone Medical Group Administration Office is located on Garfield Rd in between 19 Mile and Hall Rd. in Clinton Township.

POSITION SUMMARY

Responsible for detailed analysis of accounts/claims to obtain maximum reimbursement in an acceptable timeframe.

ESSENTIAL JOB RESPONSIBILITIES

• Reviews, corrects, and works unpaid claims based on work assignment, department policy/procedures, and coding/payor regulations.
• Communicates as necessary with payors to resolve billing issues.
• Prepares and reviews routine billing reports. Recommends process improvements based on findings.
• Maintains and improves technical knowledge of billing diagnosis codes, procedure codes, modifiers and insurance regulations.
• Responds to complex telephone and written inquiries from patients and/or third party payors and physician practices with resolution.
• Understands assigned working goals.

QUALIFICATIONS/REQUIREMENTS

The qualifications/requirements listed below are representative of the knowledge, skill, and/or ability required.
-COMPLEXITY OF WORK: Within scope of job, this position requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment.
- PERSONAL PROTECTIVE EQUIPMENT: Follows Standard Precautions using personal protective equipment as required.
- EDUCATION and/or EXPERIENCE: High school diploma or equivalent required. Associate’s Degree in Medical Billing preferred.
- CERTIFICATES, LICENSES, OTHER: N/A
- WORK EXPERIENCE: Billing experience required. One (1) year of medical billing required OR three (3) months of on the job training and orientation required