Medical Billing Specialist
About Eden Health
Eden Health is a nationally recognized medical practice on a mission to create a world where every person has a relationship with a trusted healthcare provider. Working with employers across the country, Eden Health offers employees 24/7 digital care, same-day in-person primary care, mental health services, physical therapy, and benefits navigation. The Eden Health team is driven by a patient-centric approach, delivering relationship-based collaborative care. With this model, our clients have healthier workforces, increased productivity, and reduced healthcare costs. We are committed to diversity, equity, and integrity, and our teams reflect this. Our hope at Eden Health is to create an environment where each person can do the best and most important work in their careers.
What you will be doing
As a Medical Billing Specialist at Eden Health, you will be working in a lean but fast-growing Billing team that is responsible for the Company’s medical claim submission, invoicing, reporting, and compliance. This role will require you to be a knowledgeable and resourceful member of the Billing team who supports the day-to-day and working cross-functionally with the Clinical team to support billing issues as necessary. This role reports to the Billing and Inventory Manager. This is a remote-first role and has the flexibility to be located anywhere in the U.S.
What success looks like
- Playing an integral role in day-to-day billing processes, including claim submission, patient invoicing, and insurance outreach
- Reviewing provider documentation for accuracy of coding.
- Submitting claims for patient visits through use of an EMR system.
- Preparing and sending invoices for balances owed by patients.
- Providing financial insight to leadership by assisting with monthly billing metric reporting
- Collaborating with members of Clinical support team for billing follow up (patient insurance information, insurance/claim follow-up)
- Following up with claims in hold, and unpaid claims
- Communicating directly with patients in regards to billing/balance questions
- Researching and assisting in appealing denied claims
- Encouraged to be on the lookout for broken processes throughout the Billing function and seek to improve continuously by identifying opportunities for standardization, automation, and outsourcing.
- Partaking in ad hoc billing projects and analyses, as assigned
What you will bring
- 2+ years of experience working in medical billing
- Experience working with an EHR (previous experience working with Athena is a plus, but not required)
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Sharp problem-solving skills to research and resolve discrepancies and denials.
- Expert multitasker and self-prioritizer able to juggle multiple core billing processes
- Familiarity with common medical terminology that may be encountered in medical claims
- Excellent verbal and written communication skills, with the proven ability to communicate effectively both within the Billing department and cross-functionally
- A keen sense of curiosity to learn as the company continues to grow, and to stay abreast of the latest developments in medical billing
- Proficiency with Microsoft Excel/Google Sheets
Why Eden Health?
- Remote first company and culture
- Series C Healthtech startup with a mission-driven team that's passionate about helping every person have a relationship with a trusted healthcare provider
- Competitive salary and equity compensation package
- Medical, dental, and vision insurance and commuter benefits
- Dedicated Culture Committee led by CEO
- Learning and development budgets to help you grow and bond with your team
- Positive, inclusive, supportive culture cheering you on your journey
- Strong and quickly growing client base of America’s leading employers
Eden Health is an equal opportunity employer and encourages all applicants from every background and life experience without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Please note: Eden Health interview requests and job offers only originate from edenhealth.com email addresses (e.g. jsmith@edenhealth.com). Eden Health will never ask for bank information (e.g. account and routing number), social security numbers, passwords, or other sensitive information to be delivered via email. If you receive a scam email or wish to report a security issue involving Eden Health, please notify us at: security@edenhealth.com.