What is AnsibleHealth?
AnsibleHealth is a physician-led healthcare startup that leverages digital technology to revolutionize the care of patients suffering from lung disease in the United States. We are marrying AI, digital patient monitoring with expert human care to enable versatile and holistic management of chronic respiratory disease where it matters most: in patients’ homes and communities. Our mission is to empower our patients to live longer, healthier, and more fulfilling lives. Meaningful outcomes include reduction of emergency department visits, hospital admissions, and death. Our overall vision is to create the most intelligent learning healthcare system on Earth, starting with chronic respiratory disease in the home.
The Job at a Glance
The Billing Generalist is expected to have a strong understanding of medical billing processes, healthcare insurance systems, and possess excellent analytical skills. He or she will be responsible for managing the billing operations, verifying insurance coverage, and working closely with healthcare providers to ensure accurate and efficient reimbursement.
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This is a remote (work-from-home) position.Responsibilities:
- Conduct thorough review and analysis of patient billing records to ensure accuracy and compliance with regulatory guidelines.
- Verify insurance coverage and obtain necessary authorizations for services rendered.
- Prepare and submit claims to insurance companies for reimbursement.
- Follow up on unpaid claims, denials, and discrepancies to resolve billing issues promptly.
- Research and stay up-to-date with changes in insurance regulations, coding guidelines, and reimbursement policies.
- Collaborate with healthcare providers to obtain missing information and resolve billing-related inquiries.
- Assist in the preparation and submission of appeals for denied claims.
- Maintain accurate records of billing activities, including payments, adjustments, and collections.
- Generate and analyze reports to identify billing trends, potential issues, and opportunities for process improvement.
- Collaborate with cross-functional teams, including the finance and operations departments, to ensure smooth billing processes.
- Maintain confidentiality and adhere to HIPAA guidelines when handling sensitive patient information.
Qualifications and Experience
- Three (3) years or more of relevant professional experience, preferably in a healthcare setting. Proven experience working as a billing specialist in a healthcare setting, preferably in a start-up or fast-paced environment is preferred.
- Bachelor's degree in healthcare administration, finance, or any related field.
- In-depth knowledge of medical billing procedures, CPT, HCPCS, and ICD-10 coding systems.
- Familiarity with healthcare insurance systems, including Medicare, Medicaid, and commercial insurance.
- Strong understanding of insurance claim submission and reimbursement processes.
- Proficient in using billing software and electronic medical record (EMR) systems.
- Excellent analytical and problem-solving skills, with attention to detail.
- Ability to effectively communicate and collaborate with internal and external stakeholders.
- Self-motivated and able to prioritize tasks in a fast-paced environment.
- Certified Professional Biller (CPB) or Certified Professional Coder (CPC) certification is a plus.
- Proven experience managing complex programs with multiple stakeholders and cross-functional teams.
- Excellent analytical, communication and time-management skills.
- Handle tasks with a high level of ambiguity - as we are a fast-moving startup operating in an ever-evolving environment.
- Excellent interpersonal, and communication skills.
- Ability to influence and negotiate with stakeholders at all levels.
- Strong attention to detail and ability to manage multiple priorities simultaneously.
- Willing to work during US work hours (Pacific or Eastern time).
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