Medical Biller

TLDR

Maintain HIPAA compliance while effectively managing medical claims and liaising between payers and internal teams to optimize revenue cycle processes.

What You’ll Be Doing

  • You’ll contact payers for medical claims status, followup denials, or partial payments

  • You’ll obtain payer requirements for timely adjudication of claims

  • You’ll file claims with appropriate documentation attached

  • You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers

  • You’ll process all incoming and outgoing correspondence as assigned

  • You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company

  • You’ll help facilitate communication on error and denial trends

  • You’ll initiate the review/appeals process on disputed claims

  • You’ll maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends

  • You’ll maintain HIPAA guidelines 

Who You Are

  • You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)

  • You have knowledge of CPT and ICD-10

  • You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data

  • You are a self starter 

  • You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t

  • You have excellent oral and written communication skills

  • You have effective multitasking skills

  • You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization

Pay Transparency

The estimated starting annual salary range for this position is $20-$27 USD per hour. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.

Candid Health is a health tech startup that simplifies the healthcare experience by providing individuals with the tools they need to understand insurance, navigate medical billing, and access essential care. Our solutions improve communication and compliance within a regulated market, making healthcare more accessible and less daunting for consumers.

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Salary
$20 – $27 per hour
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