About the Role
Title: Billing Specialist
Location: Tucson, AZ
Type: Full-Time
Workplace: remote
Category: Customer Support
JobDescription:
As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. Thats why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better.
120+ locations and growing, along with vast virtual coverage
1 million+ patients to-date
2,000+ caring clinicians and support staff serving their communities
Backed by investors such as CVS Health Ventures and Blackstone Horizon
WHAT IS CARBON ALL ABOUT?
Our mission is making world-class care accessible to everyone. Carbon Health is a modern healthcare provider that combines smart technology with inviting clinics. We deliver a uniquely seamless experience for both medical professionals and patients through our mobile, virtual and in-person services.
THE JOB AT A GLANCE
This position is responsible for the completion of all tasks and duties required of a Medical Biller.These administrative and billing tasks are vital in ensuring our patients are billed accurately. This role is critical in maintaining patient satisfaction and operational success at our multiple clinics throughout the US from a central location.
WHAT YOULL DO
- Follow detailed instructions on claim processing projects, establishing high rate of productivity
- Research, process and follow up on claim re-submittals
- Research and resolve billing problems or issues
- Maintain operational integrity by following policies and procedures; but also suggesting process improvements that will benefit patients, clinicians, colleagues and overall operations
- Commanding understanding of Carbons payers and their policies, payer portals, billing hub, and Waystar
- Multi-tasking with all of the above
ABOUT YOU
- A minimum of 36 months and up to 5 years of US Healthcare Experience with the Knowledge & Skills required for the profile are;
- Multi years experience in US Health care handling Physician, Outpatient Claims, Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider Tax IDs.
- Proficient in Denial and Rejection handling
- Experience to handle Multiple Providers Claims,
- Experience handling Medicare and Medicaid Claims Establishing Patient Eligibility
- Knowledge in Patient Demographics,
- Coordination of Benefits, Knowledge of Primary Rules and Determinations
- Knowledge of all Provider types such as, Billing Provider, Referring Provider, Rendering Provider etc.
- Knowledge of Medical Terminology, Basic Anatomy and Physiology
- Ability to multi-task with all of the above
- Familiarity with Google Suite apps and working knowledge of Excel
- Must have the ability to remain focused and calm during stressful situations
- In depth knowledge of how US health insurance works
- Must have the ability to speak, read, and write in English clearly and professionally
- Possess strong organizational skills and prioritization