• Company Candid Health
  • Employment Contract
  • Location 🇺🇸 United States nationwide
  • Submitted Posted 2 days ago - Updated 5 hours ago

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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