Medical Biller

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 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.