Billing & Coding Associate

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $22 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🦅 H1B Visa Sponsor

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Wider Circle

11 - 50 employees

⚕️ Healthcare Insurance

💰 $38M Series B on 2021-09

Healthcare Insurance • Community

Wider Circle is a neighborhood-based health organization that aims to empower community members to lead happier and healthier lives. By partnering with health plans and physician groups, the company offers engaging and educational programs both in-person and virtually. These programs are designed for members who share similar interests and life experiences, creating a social group with the purpose of improving access to care within a trusted community network. Wider Circle connects residents in a neighborhood to support each other's health and well-being, offering help with tasks such as scheduling doctor’s appointments and accessing food resources, thereby revitalizing the sense of community care. The company collaborates with national and regional Medicare Advantage plans and Managed Care Organizations.

📋 Description

• Coding & Documentation: Review patient medical records to extract information and assign accurate diagnosis and procedure codes. • Claim Submission: Create, review, and submit clean claims to insurance payers using billing software. • Revenue Management: Follow up on unpaid claims, handle denials, initiate appeals, and manage accounts receivable. • Patient Interaction: Handle inquiries regarding bills, explain insurance coverage, and set up payment plans. • Team Communication: Weekly outreach for any items that are blocking billing must be completed in a professional and timely manner. • Compliance: Maintain strict confidentiality and adhere to HIPAA regulations and, if applicable, CMS guidelines. • Data Integrity: Maintain a 100% accuracy between codes assigned and documented time, ensuring every interaction is documented for clinical continuity and reimbursement. • Startup Agility: Assist the Revenue Cycle and Operations teams in testing new workflows, documenting "what works," and taking on special projects as the company scales.

🎯 Requirements

• 1–3 years of experience as a biller and/or coder and equivalent education/certification. Strong knowledge of ICD-10-CM, CPT, HCPCS is a must. • Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) or equivalent is required. • Technical Native: You can navigate multiple software tools (Slack, EMRs, Google Suite) simultaneously without breaking a sweat. Spreadsheet experience (preferably Google Sheets) is required. • Exceptional Communication: You are comfortable on the phone and in writing—able to explain complex insurance issues and relay details to appropriate parties. • Detail Obsessed: You notice the missing signature or the transposed phone number that others might miss. • The "Startup Spirit": You are comfortable with ambiguity and excited by the chance to help define a role as we grow.

🏖️ Benefits

• Comprehensive health coverage, including medical, dental, and vision • 401(k) Plan • Paid Time Off • Employee Assistance Program • Health Care FSA • Dependent Care FSA • Health Savings Account • Voluntary Disability Benefits • Basic Life and AD&D Insurance • Adoption Assistance Program • Training and Development

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