Coordinator - Enterprise Medical Billing

Coordinator - Enterprise Medical Billing

We are on a mission to transform fertility and family-building care, making it more accessible, intuitive, and empowering - for all. We leverage modern proprietary technology to deliver a superior experience, improved outcomes, and reduced pricing for patients and employers, and for all gender identities, races, and humans. Join our experienced team of rockstars from Stanford, Mercer, Oscar, Progyny, Mount Sinai, One Medical and Castlight to change healthcare forever.

As an experienced Billing Coordinator, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Billing Coordinator, with a focus on medical billing, to join our team to support our Enterprise team. This role will have a large emphasis on customer relations. You must be comfortable interacting, communicating, and working directly with patients.

This role is remote.

Responsibilities:
• Handle patient intake phone calls and email inquiries, review light clinical information, and review medical insurance coverage information with the patient
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments
• Create and submit claims leveraging internal Kindbody systems; audit and review claim submissions that are not processed by payer.
• Expert in navigating and utilizing internal Kindbody claims and billing systems
• Set up patient payment plans and work collection accounts
• Review patient bills for accuracy and completeness and obtain any missing information
• Process insurance payments, including balance billing to secondary insurance and/or directly to patients.
• Reporting payer issues to leadership and assist in the development of strategies and tactics to address and resolve
• Properly note system and maintain all documentation required for compliant claim submission.
• Prepare and process refund requests.
• Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
• Respond to a high volume of inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
• Meet positional metrics and benchmarks.
• Maintain the highest degree of ethics when handling patient payments and bill processing
• Follow all department standard operating procedures carefully and accurately
• Serve as a team lead to junior team members and assist Manager, Enterprise Medical Billing on managing workflows, resolving complex issues and overseeing the team.
• ​​Other duties as assigned by supervisor.

General Administrative Duties:
• Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
• Maintain clear communication and collaborate with stakeholders across the Enterprise team
• Other duties and projects as assigned

Desired Skills and Experience:
• 5+ years of health plan / medical insurance billing and/or financial reporting experience in a fast-paced, customer focused environment, fertility clinic experience is a plus
• Certificate from an accredited medical and billing school
• Experience in the employer benefits space is a plus
• A passion for women’s health, fertility is a plus
• Strong written and verbal communication skills & a team player
• Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
• Detail oriented with strong organizational skills
• Exemplifies amazing customer service skills and professionalism
• Experience in CPT and ICD-9 coding; familiarity with medical terminology
• Ability to manage relationships with various insurance payers
• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.
• Intermediate experience in Microsoft Excel

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:
• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Vision insurance

Work Location: Remote

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