<h2>What You’ll Be Doing</h2><ul><li>You’ll contact payers for medical claims status, followup denials, or partial payments</li><li>You’ll obtain payer requirements for timely adjudication of claims</li><li>You’ll file claims with appropriate documentation attached</li><li>You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers</li><li>You’ll process all incoming and outgoing correspondence as assigned</li><li>You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company</li><li>You’ll help facilitate communication on error and denial trends</li><li>You’ll initiate the review/appeals process on disputed claims</li><li>You’ll maintain partnerships with Candid’s Strategy &amp; Operations team regarding customer accounts and claim trends</li><li>You’ll maintain HIPAA guidelines </li></ul><h2>Who You Are</h2><ul><li>You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)</li><li>You have knowledge of CPT and ICD-10</li><li>You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data</li><li>You are a self starter </li><li>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</li><li>You have excellent oral and written communication skills</li><li>You have effective multitasking skills</li><li>You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization</li></ul><h2>Pay Transparency</h2>The estimated starting annual salary range for this position is $20-$27 USD per hour. The listed range is a guideline from <a target="_blank" href="https://www.pave.com/">Pave</a> data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.

Candid Health

Medical Biller

Candid Health