Candid Health

Medical Biller

Remote

$41,600 – $56,160Compensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

Candidates must possess at least two years of experience in revenue cycle management, specifically within medical billing or the healthcare/healthtech industry, and demonstrate knowledge of CPT and ICD-10 coding systems. They should also exhibit an investigative mindset, comfortable troubleshooting problems and suggesting data-driven solutions, along with excellent oral and written communication skills and effective multitasking abilities.

Responsibilities

The Medical Biller will contact payers to inquire about claim status, follow up on denials, and pursue partial payments, while also obtaining payer requirements for timely claim adjudication. They will file claims with necessary documentation, process incoming and outgoing correspondence, verify and adjust accounts receivable, help facilitate communication regarding error and denial trends, initiate the review/appeals process for disputed claims, maintain partnerships with the Strategy & Operations team, and maintain compliance with HIPAA guidelines.

Skills

Revenue Cycle Management
Medical Billing
CPT
ICD-10
Data Analysis
Communication
Multitasking
Problem-Solving
Healthcare Billing

Candid Health

Automated revenue cycle management platform for healthcare

About Candid Health

Candid Health specializes in automated revenue cycle management for healthcare providers. Its platform identifies and resolves issues that impact revenue cycles, helping to optimize insurance collections. The platform is designed to integrate seamlessly with various healthcare infrastructures, whether custom-built or commercial. Clients pay a subscription fee for access to the platform, which allows them to streamline their billing processes and improve revenue collection rates. Candid Health differentiates itself by focusing on automation and ease of integration, making it a reliable choice for healthcare providers seeking efficient billing solutions. The company's goal is to enhance the financial performance of healthcare providers by simplifying and improving their revenue cycle management.

Key Metrics

San Francisco, CaliforniaHeadquarters
2019Year Founded
$43.9MTotal Funding
SERIES_BCompany Stage
Enterprise Software, HealthcareIndustries
51-200Employees

Benefits

Remote Work Options
Company Equity
Mental Health Support

Risks

Emerging startups in healthcare automation threaten Candid Health's market share.
Stricter compliance requirements could increase operational costs for Candid Health.
Continuous AI advancements may lead to increased R&D expenses for platform updates.

Differentiation

Candid Health automates revenue cycle management with AI, reducing administrative burdens for providers.
The platform offers seamless API integration, enhancing compatibility with existing healthcare systems.
Candid Health's end-to-end automation optimizes financial operations, improving patient experiences.

Upsides

AI-driven healthcare billing solutions are expected to grow by 40% in five years.
Blockchain integration offers enhanced security, complementing Candid Health's platform.
Telehealth's rise increases demand for efficient billing solutions, benefiting Candid Health.

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