Payer Operations Specialist

Summary

Join Carda Health, a fast-growing start-up that's reimagining rehab for cardiac and pulmonary patients. As a Business Operations Analyst, you'll ensure revenue is maintained, handle compliance concerns, and collaborate across the team.

Requirements

• A year of experience in an administrative medical setting working with patients
• Strong interpersonal skills
• Attention to detail
• Highly organized
• Knowledge of Medicare and Medicare Advantage Plans

Responsibilities

• Communicate with patients daily to clarify insurance coverage and answer billing related questions
• Work with our billing company to complete tasks on claims that fail validation
• Work with Excel to manage reporting on claims and claims operations
• Work within our EMR and homegrown practice management system to correct patient data found to be inaccurate during the claim routing or adjudication process
• Assist with insurance verification/ eligibility determination questions
• Maintain updates in our billing system(s)