Medical Biller

Candid Health

9d•$20 - $27

About The Position

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

Requirements

At least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
Knowledge of CPT and ICD-10
Investigative mindset and you are comfortable running down problems and suggesting actions based on data
Self starter
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
Excellent oral and written communication skills
Effective multitasking skills
Positive and cooperative attitude in working and communicating with individuals at all levels of the organization

Responsibilities

Contact payers for medical claims status, followup denials, or partial payments
Obtain payer requirements for timely adjudication of claims
File claims with appropriate documentation attached
Pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers
Process all incoming and outgoing correspondence as assigned
Verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company
Help facilitate communication on error and denial trends
Initiate the review/appeals process on disputed claims
Maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends
Maintain HIPAA guidelines