Medical Billing Associate

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.