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.

Remote General Jobs at Candid Health

Remote General Jobs at Candid Health