Medical Biller

 Posted 3 months ago
     
 $20 - $27 per hour
  
2-5 years experience
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AI Summary

The role involves contacting payers to check medical claims status, following up on denials or partial payments, and filing claims with necessary documentation. Responsibilities also include processing correspondence, updating Accounts Receivable, facilitating communication on error trends, and initiating appeals for disputed claims.

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 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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