Medical Billing Specialist

| Greater NYC Area | Hybrid
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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.

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Technology we use

  • Engineering
    • PythonLanguages
    • TypeScriptLanguages
    • React Native (iOS & Android)Languages
    • ClojureLanguages
    • ReactLibraries
    • ClojureFrameworks
    • PostgreSQLDatabases

Location

One Liberty Plaza, New York, NY 10006

An Insider's view of Eden Health

How would you describe the company’s work-life balance?

Eden Health allows me to work as much as I want while I take care of the many aspects of my personal life, which includes my health, family, and leisure. The providers work different types of shifts, which enables me to take care of my children before or after work. I can be a provider and a mom at the same time, which is awesome!

Michelle

Virtual GCN, FNP

How do you collaborate with other teams in the company?

As a healthcare provider, the opportunity to collaborate with team members across diverse roles and backgrounds has been crucial to delivering high quality care. To improve patient engagement, we work with the Marketing and Customer Success teams to find innovative ways to reach our patients and empower them to take control over their health.

Mariella

Physician Assistant

How has your career grown since starting at the company?

I started at Eden Health as an Administrative Assistant. I started spending more time in our clinics and found a passion for working directly with our patients and supporting our providers, which led to my next role as a Clinical Associate. From there, I became a manager of our Navigation team and am now a Service and Quality Operations Manager.

Alexa

Operations Manager, Service and Quality

What are some social events your company does?

At Eden, we host company-wide happy hours, lunch & learns, and group coffee chats to keep us all connected in a remote environment.

Jasmine

People Operations Coordinator

What are Eden Health Perks + Benefits

Eden Health Benefits Overview

-Competitive salary, commission, and equity compensation packages
-Great benefits including medical, dental, and vision insurance
-Free Eden Health membership
-401K
-Commuter benefits
-Generous PTO policy

Culture
Open door policy
OKR operational model
Team based strategic planning
Pair programming
Open office floor plan
Flexible work schedule
Eden Health provides employees with a flexible work schedule that includes Flexible start and end times.
Remote work program
Diversity
Documented equal pay policy
Mean gender pay gap below 10%
Hiring practices that promote diversity
We use Jumpstart to enable our Talent team to find and hire diverse talent.
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability insurance
Dental insurance
Vision insurance
Health insurance
Life insurance
Pet insurance
Financial & Retirement
401(K)
We use Guideline to administer our 401K
Company equity
Child Care & Parental Leave Benefits
Generous parental leave
We provide up to 12 weeks of parental leave for the primary caretaker. Eden Health also provides 12 weeks of leave for the secondary caretaker.
Return-to-work program post parental leave
Vacation & Time Off Benefits
Generous PTO
Eden Health employees receive between 20 and 30 days per year of paid time off based on years of service.
Paid holidays
Paid sick days
Office Perks
Commuter benefits
Company-sponsored outings
Company-sponsored happy hours
Professional Development Benefits
Lunch and learns
Promote from within
Continuing education available during work hours
Customized development tracks

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