United States onlyLocation: Thrive2Liv Headquarters, Ann Arbor, MI | Remote Eligible
Reports To: Revenue Cycle Manager or Director of Finance
Employment Type: Full-Time
About Thrive2Liv Powered by Philips
Thrive2Liv, powered by Philips, is a people-centered healthcare platform that delivers mobile, virtual, and community-based care to underserved and dual-eligible populations. Our integrated model addresses barriers to care by combining technology, clinical excellence, and personalized service to improve access, outcomes, and equity.
Position Summary
The Medical Biller is responsible for accurately preparing, submitting, and following up on healthcare claims to ensure timely reimbursement from payers. This role plays a vital part in the revenue cycle process by ensuring all billing activities are compliant, efficient, and accurate. The ideal candidate has a strong knowledge of medical billing procedures, attention to detail, and a commitment to supporting access to quality care.
Key Responsibilities
Claims Processing & Submission
- Prepare and submit clean claims to private insurance, Medicare, Medicaid, and other third-party payers.
- Verify accuracy of billing data, CPT/HCPCS codes, modifiers, and patient information.
Payment Posting & Reconciliation
- Post payments, adjustments, and denials in the billing system.
- Reconcile patient accounts and resolve discrepancies in a timely manner.
Denial Management & Follow-Up
- Review and appeal denied or unpaid claims with appropriate documentation.
- Follow up with payers and patients to ensure proper claim resolution.
Compliance & Documentation
- Ensure billing practices adhere to HIPAA, CMS guidelines, and payer-specific requirements.
- Maintain accurate and organized documentation and records.
Coordination & Communication
- Collaborate with clinical, front desk, and finance staff to resolve billing issues.
- Provide billing support and education to patients when needed.
Reporting & Performance Tracking
- Generate reports on billing activities, claim status, and revenue trends.
- Assist with audits and provide insights for improving billing efficiency.
Qualifications
Education:
- High school diploma or equivalent required.
- Certification in medical billing and coding (e.g., CBCS, CPB, CPC) preferred.
Experience:
- 2-4 years of experience in medical billing, preferably in a clinical or mobile healthcare setting.
- Familiarity with Medicaid/Medicare billing, managed care, and value-based care models is a plus.
Skills:
- Strong attention to detail, accuracy, and time management.
- Excellent written and verbal communication skills.
- Proficiency in billing software, EHR systems, and Microsoft Office.
Knowledge:
- Understanding of ICD-10, CPT, HCPCS coding, insurance authorization, and healthcare compliance.
- Knowledge of revenue cycle workflows and patient billing practices.
