Medical Biller

Summary

Join Candid's team as a Revenue Cycle Management Specialist! You will be responsible for contacting payers regarding medical claim status, obtaining payer requirements, filing claims, and pursuing medical coverage updates. You will also process correspondence, verify Accounts Receivable, facilitate communication on error trends, initiate appeals, and maintain partnerships with internal teams. This role requires at least two years of experience in revenue cycle management within healthcare, knowledge of CPT and ICD-10 coding, and excellent communication and multitasking skills. The ideal candidate is a self-starter with an investigative mindset and a positive attitude.

Requirements

• Have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
• Have knowledge of CPT and ICD-10
• Have an investigative mindset and be comfortable running down problems and suggesting actions based on data
• Be a self starter
• 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
• Have excellent oral and written communication skills
• Have effective multitasking skills
• Have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization

Responsibilities

• 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 to our internal team and/or customers
• Process all incoming and outgoing correspondence as assigned
• Verify, adjust, and update Accounts Receivable (A/R) 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 Candid’s Strategy & Operations team regarding customer accounts and claim trends
• Maintain HIPAA guidelines