Candid Health

Medical Biller at Candid Health (United States)

Candid Health· United States·

Role details

Work type
Remote
Employment
Contract

Job description

WHAT YOU’LL BE DOING

  • You’ll contact payers for medical claims status, followup denials, or partial payments
  • You’ll obtain payer requirements for timely adjudication of claims
  • You’ll file claims with appropriate documentation attached
  • You’ll pursue, maintain, and communicate medical coverage/guideline changes/updates to our internal team and/or customers
  • You’ll process all incoming and outgoing correspondence as assigned
  • You’ll verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company
  • You’ll help facilitate communication on error and denial trends
  • You’ll initiate the review/appeals process on disputed claims
  • You’ll maintain partnerships with Candid’s Strategy & Operations team regarding customer accounts and claim trends
  • You’ll maintain HIPAA guidelines

WHO YOU ARE

  • You have at least 2 years of experience in revenue cycle management (for medical billing or within healthcare/healthtech)
  • You have knowledge of CPT and ICD-10
  • You have an investigative mindset and you are comfortable running down problems and suggesting actions based on data
  • You are a self starter
  • You take pride in your craft and enjoy maintaining a high quality bar, but also believe that “done is better than perfect” and have good intuition around which corners are okay to cut and which aren’t
  • You have excellent oral and written communication skills
  • You have effective multitasking skills
  • You have a positive and cooperative attitude in working and communicating with individuals at all levels of the organization

PAY TRANSPARENCY

The estimated starting annual salary range for this position is $20-$27 USD per hour. The listed range is a guideline from Pave pave.com data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.

Why work at Candid Health

  • Culture: A fast-growing healthcare technology startup with a mission to fix a notoriously broken part of the healthcare system.
  • Work environment: Likely dynamic and engineering-led; the careers page (jobs.ashbyhq.com) lists open roles in engineering, product, and customer success.
  • Remote/hybrid policy: Not specified in provided sources; typical for a San Francisco-based startup to offer hybrid or remote options.
  • Notable perks: Opportunity to work on cutting-edge AI in healthcare, with a direct impact on provider revenue and patient access.

Application questions