Billing Specialist
Carbon Health
- Tucson, AZ
- Permanent
- Full-time
- 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
- 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 Carbon's payers and their policies, payer portals, billing hub, and Waystar
- Multi-tasking with all of the above
- 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
- Forward-thinking, transparent, and inclusive company culture
- Competitive salary, generous paid time off, learning time off, and paid holidays
- Comprehensive benefits package including medical, dental & vision insurance
- 401k employee contributions, FSA, HSA, and dependent care options
- Employee referral bonus program, employee resource groups, and professional development
- All benefits dependent on role and eligibility