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Candid Health

Automates healthcare revenue cycle management.

Medical Biller

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
ContractRemote in USA$20 - $27 /hrRemote

About the Job

Requirements

  • At least 2 years of experience in revenue cycle management for medical billing or within healthcare or health technology.
  • Knowledge of Current Procedural Terminology (CPT) and International Classification of Diseases, Tenth Revision (ICD-10).
  • An investigative mindset, with comfort pursuing problems and suggesting actions based on data.
  • Ability to work independently.
  • Ability to prioritize quality while using sound judgment about when work is sufficiently complete.
  • Oral and written communication skills.
  • Ability to multitask.
  • Ability to work and communicate cooperatively with individuals at all organizational levels.
  • Ability to maintain Health Insurance Portability and Accountability Act (HIPAA) guidelines.

Responsibilities

  • Contact payers for medical claims status and follow up on denials or partial payments.
  • Obtain payer requirements for timely adjudication of claims.
  • File claims with appropriate documentation attached.
  • Pursue, maintain, and communicate medical coverage and guideline changes or updates to the internal team and/or customers.
  • Process assigned incoming and outgoing correspondence.
  • Verify, adjust, and update accounts receivable based on correspondence received from insurance companies.
  • Help facilitate communication about error and denial trends.
  • Initiate the review and appeals process for disputed claims.
  • Maintain partnerships with the Strategy & Operations team regarding customer accounts and claim trends.

About the Company

Candid Health

Automates healthcare revenue cycle management.

Candid Health automates revenue cycle management for healthcare providers. Its platform monitors the billing and insurance-collection process, detects issues that slow or block payments, and automatically flags and fixes problems to optimize collections. The product integrates with both custom and commercial healthcare IT systems via APIs to fit into existing workflows, and is offered on a subscription basis. This combination of automated issue detection, auto-remediation, and seamless integration distinguishes it from competitors by focusing on reducing manual billing effort and improving cash flow. The company’s goal is to help healthcare providers increase payment capture rates and shorten the time to reimbursement.

Company size
201-500
Company stage
Series D
Total funding
$217.8M
Headquarters
San Francisco, CA
Founded
2019

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