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Medical Biller

Role overview

Qualifications

  • At least 2 years of experience in revenue cycle management
  • Knowledge of CPT and ICD-10
  • Excellent oral and written communication skills
  • Effective multitasking skills

Responsibilities

  • Contact payers for medical claims status, followup denials, or partial payments
  • File claims with appropriate documentation attached
  • Verify, adjust, and update Accounts Receivable (A/R)
  • Initiate the review/appeals process on disputed claims

Key facts

Other skills

  • Communication
  • Multitasking
  • Problem Solving
  • Detail Oriented

About the company

Candid Health logo

Candid Health

Digital Health & Health Tech

Candid Health is building a modern medical payments platform that enables healthcare providers to focus on delivering high-quality, affordable and accessible care, rather than spending half their time figuring out how to get paid by insurance.

Company details

Company typeStartup
IndustryDigital Health & Health Tech
Company size11 - 50

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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 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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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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