Billing Specialist

As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. That’s why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better.
- 120+ locations and growing, along with vast virtual coverage
- 1 million+ patients to-date
- 2,000+ caring clinicians and support staff serving their communities
- Backed by investors such as CVS Health Ventures and Blackstone Horizon

**WHAT IS CARBON ALL ABOUT?**

Our mission is making world-class care accessible to everyone. Carbon Health is a modern healthcare provider that combines smart technology with inviting clinics. We deliver a uniquely seamless experience for both medical professionals and patients through our mobile, virtual and in-person services.

**THE JOB AT A GLANCE**

This position is responsible for the completion of all tasks and duties required of a Medical Biller. These administrative and billing tasks are vital in ensuring our patients are billed accurately. This role is critical in maintaining patient satisfaction and operational success at our multiple clinics throughout the US from a central location.

**WHAT YOU’LL DO**:

- Follow detailed instructions on claim processing projects, establishing high rate of productivity
- Research, process and follow up on claim re-submittals
- Research and resolve billing problems or issues
- Maintain operational integrity by following policies and procedures; but also suggesting process improvements that will benefit patients, clinicians, colleagues and overall operations
- Commanding understanding of Carbon’s payers and their policies, payer portals, billing hub, and Waystar
- Multi-tasking with all of the above

**ABOUT YOU**:

- A minimum of 36 months and up to 5 years of US Healthcare Experience with the Knowledge & Skills required for the profile are;
- Multi years’ experience in US Health care handling - Physician, Outpatient Claims, Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider Tax IDs.
- Proficient in Denial and Rejection handling
- Experience to handle Multiple Providers’ Claims,
- Experience handling Medicare and Medicaid Claims - Establishing Patient Eligibility
- Knowledge in Patient Demographics,
- Coordination of Benefits, Knowledge of Primary Rules and Determinations
- Knowledge of all Provider types - such as, Billing Provider, Referring Provider, Rendering Provider etc.
- Knowledge of Medical Terminology, Basic Anatomy and Physiology
- Ability to multi-task with all of the above
- Familiarity with Google Suite apps and working knowledge of Excel
- Must have the ability to remain focused and calm during stressful situations
- In depth knowledge of how US health insurance works
- Must have the ability to speak, read, and write in English clearly and professionally
- Possess strong organizational skills and prioritization

**A BRIEF HISTORY**

Based in San Francisco, Carbon Health was founded in 2015 to provide a more comprehensive healthcare experience for medical professionals and patients. How do we do this? By streamlining the intake process from start to finish through our mobile app. Our process is both efficient and seamless. Patients can book same-day appointments, receive follow-up information, manage their prescriptions, talk to their doctor, easily access their records, and much more. We accept all major insurance plans and currently operate clinics in the San Francisco Bay area, Los Angeles, San Diego, and Reno, NV. Virtual care services are available in multiple states.

**Perks**
- Forward-thinking, transparent, and inclusive company culture
- Competitive salary, generous paid time off, learning time off, and paid holidays
- Comprehensive benefits package including medical, dental & vision insurance
- 401k employee contributions, FSA, HSA, and dependent care options
- Employee referral bonus program, employee resource groups, and professional development
- All benefits dependent on role and eligibility

Carbon Health is a leading national healthcare provider with a mission to make high-quality healthcare accessible to everyone. We offer primary and urgent care to nearly two-thirds of the U.S. Leveraging our unique technology platform, we meet patients where they are by delivering care across a variety of access points, including in-person clinics and virtual care. Carbon Health also focuses on value-based care and other value-add services to employers, health plans, health systems and other ecosystem partners.

We recognize that the key to success lies in valuing the minds, experiences and perspectives of people from all walks of life. Carbon Health is proud to value diversity and be an equal opportunity employer. Pursuant to the San Francisco Fair Chance Ordinance and the Los Angeles Fair Chance Initiative for Hirin