What are the responsibilities and job description for the Medical Claims Resolution Specialist position at Metro Vein Centers?
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our board-certified physicians and expert staff are on a mission to improve people's quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs.
With over 60 clinics across 7 states, and still growing, we're building the future of vein care—delivering compassionate, results-driven care in a modern, patient-first environment.
We proudly maintain a Net Promoter Score (NPS) of 93, the highest patient satisfaction in the industry.
We're seeking a detail-oriented, results-driven Claims Resolution Specialist to support our billing and revenue cycle operations. In this role, you'll manage assigned claims, follow up on denials, ensure accurate and timely payment, and support the financial health of our clinics through effective payer engagement.
This is a hybrid position based in West Bloomfield, MI.
What You'll Do
- 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
What You'll Bring
- 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 Skills
- Familiarity with Centricity EMR
- Previous experience in surgical or specialty practice billing
- Knowledge of revenue cycle metrics and KPIs
Benefits to Support Your Wellbeing & Lifestyle
Full-time team members at Metro Vein Centers are eligible for:
- 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
Schedule
- Monday - Friday
- This is a hybrid position based in West Bloomfield, MI.
- Monday-Friday: 8:30am-5:00pm
#LI-hybrid
The Metro Vein Centers Difference
Healthy legs. Happier lives.
At Metro Vein Centers, we believe exceptional care begins with an exceptional experience. Our mission is to make vein care approachable, empowering, and connected to overall well-being. From the first conversation to the final follow-up, every patient interaction reflects our commitment to compassion, expertise, and trust.
A team united by purpose.
Our values guide everything we do:
- Patients First, Always – Every interaction should make our patients feel valued, heard, and cared for.
- Stronger Together – Teamwork and collaboration drive our success. We lift each other up to deliver the best for our patients.
- A Can-Do Spirit – We meet every challenge with positivity, flexibility, and problem-solving energy.
- Results That Make a Difference – We're driven to improve lives through meaningful, measurable outcomes.
- Commitment to Growth – We invest in our people, fostering advancement and professional development at every level.
Metro Vein Centers is an Equal Opportunity Employer.
We're committed to creating a workplace where everyone feels seen, heard, and supported. We do not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.
Legal & Compliance Notice:
Metro Vein Centers complies with all applicable federal, state, and local employment laws, including those related to nondiscrimination, equal opportunity, and pay transparency. Where specific disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.
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