नोकरीचे वर्णन

Role overview

Candid Health is hiring a Medical Biller in the United States for a full-time onsite position. This role focuses on managing claims follow-up, resolving payer issues, and keeping billing and accounts receivable records accurate and up to date.

What you will do

Reach out to insurance payers to check claim status, work through denials, and follow up on partial reimbursements.
Gather payer-specific requirements so claims can be processed and adjudicated without avoidable delays.
Submit claims with the correct supporting documents attached.
Track, communicate, and help manage updates to coverage rules and billing guidelines for internal teams and customers.
Handle incoming and outgoing mail, letters, and other correspondence as assigned.
Review insurance correspondence and use it to reconcile, correct, and refresh accounts receivable records.
Support the identification and communication of recurring denial patterns and billing errors.
Start and manage the appeals and dispute-review process for claims that are contested.
Work closely with the Strategy & Operations team on customer accounts and claim-related trends.
Follow HIPAA requirements at all times.

What we’re looking for

The ideal candidate has at least 2 years of experience in revenue cycle management, either in medical billing or in a healthcare/healthtech environment. You should understand CPT and ICD-10 coding, be comfortable investigating issues and using data to recommend next steps, and be able to work independently. Strong written and verbal communication skills, the ability to juggle multiple tasks, and a collaborative, positive approach across all levels of the organization are also important.

Compensation

The estimated starting pay is $20 to $27 per hour. This range is based on Pave data and may change depending on skills, experience, interview performance, and market conditions.

Additional information

This position emphasizes accuracy, initiative, and a practical approach to quality. The role expects someone who can maintain high standards while also making sensible tradeoffs when needed.

Medical Biller