candidhealth - Medical Biller

Remote - USA$42k - $56k7mo ago

Remote Mid NA Insurance Payments Physician Accounts Receivable Documentation

Requirements

• You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech) • 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 https://www.pave.com/ data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.

Responsibilities

• 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