Job Description:
• Verify insurance coverage and ensure accurate loading of insurance information for billing purposes
• Submit claims to our billing partner
• Create invoices for case rates and other billing scenarios as needed
• Perform front-end edits on patient demographics, correcting information such as date of birth, addresses, and member IDs
• Conduct claim audits and reconciliations to ensure all services are accounted for and billed correctly
• Research uninsured and unknown insurance cases to identify potential coverage
• Assist in the implementation and testing of billing automation processes
• Perform ongoing audits of billing automations to ensure accuracy and efficiency
• Serve as a liaison with Operations, identifying opportunities for improvement in front-end data collection
• Serve as a SME (Subject Matter Expert) for Navigators on insurance-related questions
Requirements:
• Bachelor’s degree in healthcare administration, business, or related field or equivalent experience
• Minimum 2 years of experience in medical billing and insurance verification
• Proficiency in medical billing software
• Strong knowledge of CPT and ICD-10 coding
• Familiarity with HIPAA regulations and privacy standards
Benefits:
• The opportunity to be a part of a dynamic, mission-driven organization
• Competitive base salary
• Market-competitive healthcare coverage, including medical, dental, vision, life, and disability
• The opportunity to work alongside talented and professional colleagues with the ability to grow