Medical Biller

ExagenCarlsbad, CA
220d$22 - $26Hybrid

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About The Position

Exagen is a patient-focused and discovery-driven life sciences company dedicated to transforming the care continuum for patients suffering from debilitating and chronic autoimmune diseases. Our goal is to enable rheumatologists to improve care for patients through the differential diagnosis, prognosis, and monitoring of complex autoimmune and autoimmune-related diseases, including lupus and rheumatoid arthritis. By leveraging our proprietary Cell-Bound Complement Activation Products, or CB-CAPs, technology, we help get to the real cause of a patient's symptoms and guide their journey to improved health. Under the direction of the Billing Supervisor, the Medical Biller is responsible for managing claims from submission to adjudication. The biller will also process appeals and grievances. They will conduct pertinent research in order to evaluate, respond to and close appeals while building case files for each grievance and ensure compliance with organizational and regulatory guidelines. Qualified candidates will have extensive knowledge of medical and third-party billing procedures, policies and concepts, a thorough understanding of Federal and State health programs, PPO, HMO, and Indemnity Plans.

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