Medical Biller

Position Overview

• Location Type: Remote
• Employment Type: Contract
• Salary: $20-$27 USD per hour (estimated)

This role involves contacting payers regarding medical claims, processing claims, and maintaining relationships with internal teams and customers. It requires a strong understanding of revenue cycle management and healthcare billing practices.

Requirements

• Experience: At least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech).
• Knowledge: Knowledge of CPT and ICD-10 coding.
• Skills:
  • Investigative mindset and ability to analyze data to identify problems and suggest solutions.
  • Self-starter with a proactive approach.
  • Excellent oral and written communication skills.
  • Effective multitasking skills.
  • Positive and cooperative attitude.

Responsibilities

• Contact payers for medical claims status, denials, or partial payments.
• Obtain payer requirements for timely adjudication of claims.
• File claims with appropriate documentation attached.
• Pursue, maintain, and communicate medical coverage/guideline changes/updates to internal teams and/or customers.
• Process all incoming and outgoing correspondence as assigned.
• Verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance companies.
• Help facilitate communication on error and denial trends.
• Initiate the review/appeals process on disputed claims.
• Maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends.
• Maintain HIPAA guidelines.

Application Instructions

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Company Information

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