Medical Biller
Candid Health · US
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 a...
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 ba...