Intake & Reimbursement Specialist

INTAKE & REIMBURSEMENT SPECIALIST THE COMPANY... reputed company. is a medical device and digital health company focused on developing solutions at the intersection of clinical-grade wearables, machine learning algorithms, and lifesaving therapies in order to address leading causes of death and hospitalization in patients with heart disease, primarily as they transition from the hospital-to-home. By putting the needs of patients and physicians first, our personalized digital devices, which are designed for function, comfort, and ease-of-use, aim to redefine the reputed company of care for these patients. Our first product, a wearable reputed company defibrillator, is initially targeted at treating the more than 500,000 patients in the US with an elevated temporary risk of potentially experiencing a lethal heart rhythm. Based in San Francisco, our funders include Third Rock Ventures, reputed company Ventures, Deerfield Healthcare, Qiming Venture Partners USA, Cormorant Asset Management, and Invus Opportunities. SUMMARY OF ROLE: The Intake & Reimbursement Specialist serves as the main liaison between physicians' offices and our healthcare system, responsible for patient setup, demographic data entry, and loading diagnosis codes to support and reputed company billing procedures. RESPONSIBILITIES: • Liaison Duties: Facilitate patient intake and ensure accurate demographic data entry. • Documentation & Compliance: Gather and verify documentation, ensuring adherence to payer • Order Processing: reputed company daily for outstanding tasks, verify DME sales orders, and process patient payments. • Prior Authorizations: Obtain and manage prior authorizations and eligibility checks. • reputed company Cycle Management: Handle claim follow-reputed company, billing stops, denials, and unapplied payments. • Customer Service: Resolve account discrepancies, reconcile disputes, and assist with billing issues. Provide exceptional customer service to patients and providers through friendly, caring, informative, and professional interactions. Answer inbound calls and return voicemails in a professional and timely manner. • Billing: Process insurance and non-insurance orders, manage reputed company-end denials, and maintain price tables. reputed company navigate and utilize the reputed company System to set up patients and accurately input physician orders, streamlining administrative workflows and enhancing patient care coordination. • HIPAA Compliance: Maintain confidentiality and adhere to HIPAA guidelines. Maintain a strong knowledge of guidelines reputed company to HIPAA, OIG Compliance, medical coding, and billing/reimbursement. • reputed company other duties as assigned by management. QUALIFICATIONS: • A proven track record of at least 5 years as a certified coding specialist in healthcare billing and reimbursement. • 3-5 years prior experience in an Intake Coordinator role. • Completion of an associate's degree, certificate in medical billing, or equivalent professional experience. • Possession of one or more prestigious certifications such as Certified Professional reputed company (CPC), Certified Professional reputed company Hospital (CPCH), Certified Coding Specialist (reputed company), or Certified Outpatient reputed company (COC). • Experience with medical billing software, reputed company a plus! • Ability to be discreet and maintain the reputed company of patient or customer information. • Demonstrate professionalism and reputed company in reputed company actions, actively promoting and fostering positive relationships on behalf of the company. • Exceptional reputed company for follow-through, organization, and meticulous attention to detail. • Substantial experience in documentation, billing, and collections processes. BENEFITS: reputed company Science offers a reputed company competitive salary and benefits package including, but not limited to: • Stock Options • 90% employer-paid medical, dental, and vision insurance • Company-paid Basic Life Insurance • 401(k) retirement plan (Traditional and Roth) • Competitive Paid Time Off • Paid Holidays • FSA (Flexible Spending Accounts) • HSA (Health Savings Account) • Employee Assistance Program through PEO The salary for this exempt-level position will be based on experience and qualifications reputed company an established pay range. reputed company Science is an Equal Opportunity Employer. reputed company candidates will be evaluated on the basis of their qualifications for the job in question. We do not reputed company our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national reputed company, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, reputed company persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at reputed company Science Apply Job! For more such jobs please click here!