The Role: The Medical Billing Associate will support various functions of the Hazel Revenue Operations team, including securing real-time insurance benefits eligibility and coverage information for patients, following up on rejected/outstanding claims, and collaborating with third-party partners on data and clarification requests.

Role title: Medical Billing Associate

Location: Remote

What You’ll Bring:

Insurance Verification:

  • Verifies detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following the established verification process
  • Read and interpret insurance Explanations of Benefits (EOB)/Remittance Advice (RA) with understanding and take appropriate steps to resolve issues.
  • Verify all information obtained is correctly documented in the patient’s account, in the correct format.
  • Communicate with insurance providers via phone and electronically via web portals to validate patient benefits, check authorization requirements, and review authorization status.Billing/General
    • Review regular data feeds from third party billing partner and research patient insurance coverage and billing status using internal and external tools.
    • Create and utilize spreadsheets and other tools to track visit statuses and contracting/credentialing data.
    • Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
    • Performs other duties as required or assigned within the scope of responsibility, including supporting other functions and teams within Revenue Operations.

What excites us:

  • Passionate for our mission to transform healthcare for all children
  • 2+ years experience in insurance verification with experience in Medicaid, Managed Medicaid and commercial payers across multiple states. Experience with California and Florida Medicaid strongly preferred.
  • 1+ years or more experience with Google Suites (google sheets, google docs)
  • 1+ years experience with Change Healthcare or other online eligibility healthcare tools
  • 1+ years experience with claims adjudication/follow-up
  • Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals
  • Highly detail-oriented and comfortable with insurance, claims, and other data sources
  • Ability to understand how job performance affects the outcomes of key performance indicators such as billing rates, denials, and write-offs.
  • Self-motivated with excellent decision making and time management skills
  • Ability to meet remote work expectations, including but not limited to active participation in virtual meetings and real-time communication via Slack
  • Exceptional communication and collaboration skills, especially in a virtual work environment.
  • 2+ years / Associate Degree, preferred

The compensation range for this role is $22.00-$26.00/hour with a 401k match, healthcare coverage, paid time off, and a broad range of other benefits. Peruse our benefits at Hazel Health Benefits.

Job Overview
Job alerts

Subscribe to our weekly job alerts below and never miss the latest jobs

Sign in

Sign Up

Forgotten Password

Job Quick Search