Medical Billing Specialist

🕒 6 days ago

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Ceresti Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2013

⚕️ Healthcare Insurance

🤝 B2B

🔥 Funding within the last year

💰 $11.7M Venture Round - Ceresti Health on 2025-08

Healthcare Insurance • B2B

Ceresti Health is a tech-enabled care company that partners with health plans and accountable care organizations (ACOs) to support family caregivers of people living with dementia. The company combines claims-data driven risk stratification, caregiver education, a tablet-based platform, and weekly personal care navigators to improve care plan adherence, close social determinants of health gaps, and proactively detect changes in patients' conditions. Ceresti’s caregiver-led program has independently validated results showing substantial reductions in avoidable hospitalizations and per-patient medical costs, and it offers no-risk, outcomes-based contracts for payers.

📋 Description

• Review patient records to determine the services provided • Verify accuracy of patient information • Process and submit claims to insurance companies • Follow up on unpaid claims to ensure payment • Resolve any billing disputes or discrepancies • Generate reports to track accounts receivable • Provide customer service regarding billing inquiry

🎯 Requirements

• Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding • Ability to accurately and efficiently process billing claims • Proficiency in using medical billing software and databases • Ability to analyze and interpret complex healthcare requirements • Excellent problem solving and communication skills • Accomplished in medical billing software and experienced in billing rules • Knowledge of coding and medical terminology • Experience working in a medical office setting • Strength in researching governmental and payer requirements for billing and payment • Excellent communication skills • Able to handle multiple tasks • Comfortable working independently and actively communicating with senior leaders • Attention to detail • Strong organizational skills • Comfortable working independently • Able to actively communicate with senior leaders • Adept at critical thinking and creating related action plans

🏖️ Benefits

• Competitive compensation and benefits package • Opportunities for professional growth and advancement • Collaborative, mission-driven work environment • Additional benefits: remote flexibility, PTO, etc.