Offer summary

Qualifications:

2+ years of billing experience, Excellent organizational and communication skills, Strong attention to detail, Experience with Athena preferred, CPC or CPB certification is a plus..

Key responsabilities:

Ensure accurate coding and timely collections for all charges submitted by providers

Triage and correct claim denials and monitor eligibility errors

Track insurance payments and manage patient invoicing and payments

Support the Controller in process improvement and reporting activities.

Job description

FOLX Health is currently looking for a Medical Billing Specialist to join our Revenue Cycle Management team. The Medical Billing Specialist will perform daily RCM activities and work with the Controller to enhance and further build out our insurance reimbursement processes. This position will play a critical role in securing the financial stability of FOLX Health and delivering excellent customer service to our patients.

Our Company:

FOLX Health exists to be the leading health and wellness platform for LGBTQIA+ care, providing end to end services, both virtually and in person, across the spectrum of community needs. We are the north star for innovation in the broader ecosystem by creating joyful, affirming healthcare on one's own terms and building community and access around those needs.

Our Culture:

Reliability: We show up for our members and each other in service of our mission.
Transparency: We build trust by openly sharing our goals and progress.
Access: We invest in our team by providing the tools and training needed to achieve individual goals.
Agency: We trust our team to get their jobs done.

What You’ll Do:

Responsible for all charges submitted by providers, ensuring accurate coding and timely collections
Triage and correct claim denials by working daily Athena worklists for claim and coding corrections
Monitor and correct eligibility errors
Track insurance payments and ensure payment posting is completed correctly and timely
Invoice patients to collect self pay balances
Post patient payments and reconcile patient accounts
Research and resolve patient communications and balance issues
Manage payer portal access and profiles
Work with credentialing team to update Athena payer and provider enrollments
Support Controller in process improvement and overall reporting activities

What You’ll Bring:

2+ years of billing experience
Excellent organizational and communication skills
Strong attention to detail
Sense of urgency: ideally you have startup or fast paced work environment experience
Experience with Athena preferred
Proficient in Microsoft Office and Google Docs
CPC (Certified Professional Coder) preferred, CPB (Certified Professional Biller) preferred

Salary range: $60,000 - $70,000

We are proud to be an equal opportunity employer, and do not discriminate on the basis of race, color, ethnicity, national origin, religious affiliation, sex, gender identity, sexual orientation, disability, or any other legally protected status. Here, diversity and inclusion means accepting that everyone’s perspective can teach you something. We’re eager to learn.

#LI-Remote

Please note: There has been a recent increase in employment scams. FOLX posts all of our open positions on our careers page at www.folxhealth.com/careers and only contacts candidates from official "@folxhealth.com" email addresses.

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