Billing Associate

2 days ago

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Curai Health

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Curai Health is a company that provides comprehensive virtual primary care solutions integrating artificial intelligence with medical professionals' expertise. The company aims to expand access to cost-effective primary care through AI-assisted technology, promoting better patient outcomes and increased healthcare equity while reducing operational costs. Curai Health supports health plans, health systems, and third-party administrators by embedding AI-enhanced software and care teams to optimize care delivery and patient management. Their platform facilitates personalized primary care, urgent care, prescription and lab ordering, condition management, network navigation, and clinical workflow integrations, all aiming to enhance patient experience and healthcare reach. Curai Health is committed to using AI substantively to improve healthcare efficiency and effectiveness, setting it apart as a partner for organizations aiming to enhance their virtual care capabilities.

Artificial Intelligence • eHealth • Machine Learning • Primary Care

51 - 200 employees

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

💰 $27.5M Series B on 2020-12

📋 Description

• Our mission at Curai is to make high-quality healthcare accessible to all. • We are fulfilling this audacious mission by building a virtual-first primary care service. • Blending high-touch clinical care augmented with artificial intelligence, we are building a scalable primary care model that provides patients with quality care anytime, anywhere, from their mobile phones at a very affordable price. • We are seeking skilled and experienced Biller/Coder to join our dynamic team. • As a Biller/Coder, you will be crucial in completing accurate medical coding, claims submission, and payment reconciliation for our telehealth services. • You will collaborate closely with healthcare providers, administrative staff, and insurance companies to optimize revenue cycle management for our telehealth practice. • None of these individually are hard requirements but they do describe the type of folks that we think would be most effective and happy at Curai. • You… • Have worked remotely before, or have a strong feeling that you'd work well with a 100% remote team, spread across multiple time zones. • Enjoy tackling complex problems that span multiple systems. • Are open to learning new technologies and designing procedures around them. • Have hands on experience with coding and billing claims for submission to payers • Understand this role will require building new procedures as well as operating existing workflows • Are able to clearly communicate both through writing and speaking. • Are comfortable creating and delivering coding and billing trainings to our provider group. • Accurately assign medical codes to telehealth visits based on documentation and guidelines. • Conduct audits to ensure compliance with coding and billing regulations, resolving any discrepancies. • Develop and maintain Curai’s billing and coding policies, procedures, and clinician guidelines. • Perform data quality audits on claims before submission. • Stay current on telehealth coding and billing regulations. • Train staff on coding and billing best practices. • Analyze and address insurance denials, identifying root causes and implementing corrective actions. • Correct rejected claims and manage appeals for timely, accurate resolutions. • Post and reconcile insurance and patient payments to maintain financial accuracy. • Collaborate with payers, patients, and internal teams (coders, clinicians, operations) to resolve billing discrepancies and optimize reimbursement. • Maintain organized records of claims, adjustments, and resolutions, providing leadership with regular updates on trends. • Identify and implement process improvements for post-claims workflows, leveraging technology to streamline operations. • At Curai Health, we are highly committed to building a diverse and inclusive environment.

🎯 Requirements

• Certified Professional Coder (CPC) certification or equivalent. • Minimum of 3 years of experience in medical coding and billing, preferably in a telehealth primary care and urgent care setting. • In-depth knowledge of medical coding systems (e.g., ICD-10, CPT/HCPCS) and coding guidelines. • Experience building and delivering ICD-10, CPT/HCPCS training for clinicians • Familiarity with telehealth regulations and reimbursement policies. • Proficiency in using coding software and electronic health records systems. • Strong attention to detail and accuracy in coding and billing processes. • Excellent organizational and time management skills. • Effective communication and interpersonal skills to collaborate with a multidisciplinary team.

🏖️ Benefits

• Culture: Mission driven talent with great colleagues committed to living our values, collaborating and driving performance • Pay: Competitive compensation • Wellness: Unlimited PTO, flexible working hours and remote working options • Benefits: Excellent medical, dental, vision, flex spending plans, and parental leave • Financial: 401k plan with employer matching