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Medical Biller

📅 Mar 25
Medical BillingRevenue Cycle ManagementClaims ProcessingPayer Follow-up
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📜 Description

  • Contact payers about claim status, denials, and partial payments.
  • Obtain payer requirements and submit claims with appropriate documentation.
  • Process correspondence and update accounts receivable based on insurer responses.
  • Identify error and denial trends and initiate reviews or appeals for disputed claims.
  • Coordinate with Strategy & Operations on customer accounts and claim trends while maintaining HIPAA guidelines.

🛠️ Requirements

  • 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

✨ Benefits

  • Track and communicate medical coverage and guideline updates.
Full job description

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

This is a contract-to-hire position. 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.

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