Medical Biller

The role

You will contact payers for medical claims status, follow up denials, and file claims with documentation. You will also verify and update Accounts Receivable and maintain HIPAA guidelines.

What you will do

• Contact payers for medical claims status, followup denials, or partial payments
• Obtain payer requirements for timely adjudication of claims
• File claims with appropriate documentation attached
• Pursue, maintain, and communicate medical coverage/guideline changes/updates
• Process all incoming and outgoing correspondence as assigned
• Verify, adjust, and update Accounts Receivable according to correspondence received from insurance company
• Help facilitate communication on error and denial trends
• Initiate the review/appeals process on disputed claims
• Maintain partnerships with Strategy & Operations team regarding customer accounts and claim trends
• Maintain HIPAA guidelines

Required qualifications

• At least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
• Knowledge of CPT and ICD-10
• Investigative mindset
• Self starter
• Excellent oral and written communication skills
• Effective multitasking skills
• Positive and cooperative attitude

About the company

Candidhealth