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

This is a contract-to-hire position. 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.