Medical Billing and Coding Specialist II

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Visana Health

51 - 200 employees

Founded 2019

🏥 Healthcare

👥 B2C

💰 $24M Series A - Visana Health on 2025-08

Healthcare • B2C

Visana Health is a virtual women's health clinic that delivers telemedicine-first care for people across life stages. The company offers virtual consultations with clinicians, care teams (doctors, clinicians, coaches, and advocates), individualized care plans, medication and supplement management, lab ordering and coordination of in-person services when needed, and ongoing lifestyle coaching. Visana focuses on menopause and perimenopause, gynecological, sexual and reproductive health (including endometriosis, fibroids, painful periods, UTIs), hormone and metabolic conditions (PMOS/PCOS, thyroid, postpartum care), and preventive/well-woman services. It operates an online patient portal for scheduling and management and accepts major commercial insurance in all 50 states but currently does not accept Medicare or Medicaid.

📋 Description

• Review claims against patient charts before submission to ensure ICD/CPT coding reflects the complex patient population and aligns with clinical protocols, strategic goals, and value-based care objectives • Review and process medical records for billing, ensuring accuracy and complete documentation • Submit insurance claims and follow up on outstanding payments • Collect payments for services and communicate with patients and insurance providers about billing inquiries • Collaborate with healthcare providers to resolve patient-record discrepancies and billing issues • Ensure compliance with applicable medical billing and coding regulations and guidelines • Investigate complex claim and reimbursement issues, identify systemic root causes, and coordinate corrective actions across teams • Perform other duties assigned by the Revenue Cycle Manager and/or Revenue Cycle Lead

🎯 Requirements

• Efficient in processes and able to quickly adapt to complex billing and coding needs • Proficient in medical coding practices, including familiarity with ICD-10 codes • Strong understanding of medical terminology and the healthcare industry • Experience in a medical office environment, particularly in billing or coding roles • Knowledge of medical billing systems and software applications; Athena preferred • Excellent attention to detail and organizational skills to manage multiple tasks efficiently • Strong communication skills for interaction with patients, healthcare providers, and insurance companies • Ability to work independently and collaboratively as a team player • Preferred: 10+ years of experience in any revenue cycle role • Commitment to maintaining patient-information integrity and complying with healthcare regulations • Ability to handle sensitive patient information governed by HIPAA

🏖️ Benefits

• Full-Time with benefits • Comprehensive medical, dental, and vision insurance • HSA & FSA options • 401(k) • Unlimited PTO • Benefit perks like Wellhub and Talkspace • Security and privacy training

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