Simplify Logo

Full-Time

Billing and Claims Specialist

Posted on 6/3/2024

Rightway

Rightway

201-500 employees

Healthcare experience simplification through technology and services

Compensation Overview

$22 - $25Hourly

Mid

Denver, CO, USA

Category
Diagnostics & Laboratory Professionals
Medical, Clinical & Veterinary
Healthcare Administration & Support
Required Skills
Communications
Customer Service
Requirements
  • Strong communication skills, both written and verbal
  • Professional experience with benefit plan interpretation, provider billing practices, and claim adjudication
  • Demonstration of critical thinking and problem-solving skills
  • Bachelor’s degree in health sciences or related field
  • Minimum of 2 years of experience as a medical claims specialist preferred
Responsibilities
  • Determining coverage for medical, dental, and vision procedures
  • Extracting additional information from various sources
  • Initiating investigation of questionable claims
  • Resolving medical, dental, and vision claims and billing questions
  • Providing information on deductible, copay, and coinsurance activity
  • Maintaining quality customer service
  • Protecting claimant information by following HIPAA guidelines
  • Reporting claim status updates in CRM

Rightway stands out as a leader in the healthcare industry by leveraging technology to simplify healthcare experiences for clients and members. Their competitive advantage lies in their ability to streamline complex processes, making healthcare more accessible and user-friendly. The company's culture fosters continuous learning and improvement, encouraging employees to contribute to technical advancements and industry leadership.

Company Stage

Series C

Total Funding

$238.7M

Headquarters

New York, New York

Founded

2017

Growth & Insights
Headcount

6 month growth

5%

1 year growth

34%

2 year growth

80%
INACTIVE