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Accounts Receivable Job in Muskegon, Michigan

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Job Title: Accounts Receivable

Employer:Orthopaedic Associates of Muskegon
Skills:Knowledge of insurance and reimbursement policies,knowledge of commercial based payor contracts
Required Certifications:None
Preferred Certifications:CPB
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location:1400 Mercy Dr Ste 100 Muskegon 49442, MI, US
Date Posted:8/11/2020

Accounts Receivable Representative is responsible for following up on denied claims and outstanding account balances from third party payors. Highly organized individual with excellent oral and written communication skills. Ability to work independently and maximize accounts receivable collections.


1. Locate and monitor overdue accounts

2. Contact commercial/state insurance companies to check on status of claims payments and write appeal letters for denial on claims

3. Knowledge of the CMS uniform billing manual

4. Familiar with multi-faceted revenue and cpt codes

5. Ability to understand explanation of benefits

6. Ability to communicate effectively with third party payors

7. Knowledge of commercial based payor contracts

8. Understand workings of authorizations

9. Knowledge of Medicaid and Medicare billing requirements

10. Follow up on secondary billings

11. Ensures HIPPA compliance and security of documents

12. Various other duties as requested

Job Type: Full-time

·        Full-time position (Monday-Friday:8am-5pm)

·        Excellent benefits, including a generous paid time off package.

Key Qualifications:

·        Preferred Education: Medical Billing or Coding Certificate

·        Knowledge of CPT and ICD 10 coding, preferably in orthopaedics

·        Thorough understanding of coding and billing for procedures, preferably in orthopaedics

·        Thorough understanding of CPT modifiers

·        Thorough understanding of Evaluation and Management coding and billing

·        Thorough understanding of insurance explanation of benefits and the ability to take the proper course of action based on the denial

·        Knowledge of medical terminology

·        Knowledge of insurance and claims submission

·        Thoroughly understands the Revenue Cycle Management process

·        Possesses excellent communication and phone skills

·        Experience operating multiple software applications



Send resume and relevant experience to Diane Burnett

or call 231-830-2713 for questions

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