About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Biller- Clarkston Physical Therapy
Position Summary: The Medical Biller is responsible for the accurate and timely submission of insurance claims and follow-up for physical therapy services. This role ensures proper coding, billing, and reimbursement for therapy services while maintaining compliance with payer requirements and healthcare regulations. The Medical Biller works closely with therapists, front office staff, and insurance companies to resolve billing issues and ensure efficient revenue cycle operations.
Essential Functions and Responsibilities:
1. Prepare, review, and submit insurance claims for physical therapy services to commercial payers, Medicare, Medicaid, and other insurers.
2. Verify patient insurance benefits and eligibility when necessary.
3. Ensure accurate CPT, ICD-10, and modifier usage specific to therapy services.
4. Monitor and follow up on unpaid or denied claims in a timely manner.
5. Investigate and resolve billing discrepancies, denials, and rejected claims.
6. Post payments, adjustments, and patient payments accurately in the billing system.
7. Communicate with insurance companies regarding claim status and reimbursement issues.
8. Work with front office and clinical staff to obtain necessary documentation for billing.
9. Maintain compliance with federal and state healthcare billing regulations, including HIPAA.
10. Assist with patient billing inquiries and explain statements when needed.
11. Maintain organized billing records and documentation.
Qualifications:
Required:
· High school diploma or equivalent required; associate degree in healthcare administration, medical billing, or related field preferred.
· Minimum 1–2 years of medical billing experience, preferably in physical therapy or rehabilitation services.
Knowledge, Skills, and Abilities:
· Knowledge of CPT, ICD-10, and HCPCS coding related to therapy services.
· Experience working with Medicare, Medicaid, and commercial insurance plans.
· Familiarity with electronic health records (EHR) and medical billing software.
· Strong attention to detail and organizational skills.
· Excellent communication and problem-solving abilities.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
