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.