Job Description

Contract Billing Specialist

Join Midi Health, a pioneering company on a mission to bring compassionate, high-quality healthcare to women 40+. We focus on the unique health challenges faced by women in midlife and provide virtual care for perimenopause, menopause, and other common health needs.

Business Impact

• Utilize expertise in Athena platform to accurately troubleshoot claims for telehealth services provided to patients, ensuring compliance with internal coding guidelines, payer requirements, and regulatory standards.
• Collaborate with the clinical team to provide patients with insurance coverage, eligibility, and benefits prior to telehealth appointments, and assist patients with understanding their financial responsibilities and options for payment offered at Midi.
• Manage and collect patients accounts receivable (AR). Follow up on outstanding balances, denials, and insurance claims.
• Participate as a key player in regular audits and reviews of billing data and documentation to identify discrepancies, errors, or trends that could be potentially impacting the revenue cycle performance.
• Collaborate with external stakeholders, including insurance companies and third-party billing vendors to resolve billing and coding disputes, negotiate payment arrangements, and optimize reimbursement rates for telehealth services.
• Monitor and adhere to key performance indicators (KPIs) and internal metrics related to billing and revenue cycle management.
• Participate in cross-functional teams and projects focused on enhancing the patient experience, optimizing RCM workflows, and implementing technology solutions to streamline billing processes.

What you will need to succeed

• Availability! Shift time is Mon - Fri 11-7PM EST or 8-4:30 PST
• 2-3 years of experience in medical billing and coding.
• 2-3 years of experience in patient accounts receivable (AR) collection.
• Experience with Athena or similar billing platforms, managing billing statements, payment plans, and negotiating balances.
• Familiarity with Zendesk or customer support platforms.
• A strong understanding of medical billing processes, CPT, ICD-10, and HCPCS coding guidelines.
• Telehealth experience strongly preferred!
• An eye for detail and a passion for problem-solving.

The interview process will include:

• Recruiter Interview (30 min)
• Hiring Manager + Billing Specialist Interview (30 min)
• Department Leader Interview (30 min)
• Functional Leader Final Interview (30 min)

What We Provide

• Hourly rate: $23-25 hr depending on experience
• Fully remote WFH setting

This role requires authorization to work in the United States without current or future visa sponsorship, including visa transfers.

All official communication from Midi Health will come from an @joinmidi.com email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at [email protected].

Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

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