Responsibilities
- 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
Requirements
- 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 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
