Medical Biller

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