Medical Billing Associate | Hazel Health | Remote (United States)

Hazel Health is the nation’s largest virtual provider of school-based healthcare services, and has been recognized by Fast Company as “one of the world’s most innovative places to work” in 2023. By partnering with districts and health plans across the country, Hazel transforms schools into the most accessible front door to physical and mental healthcare. Today, Hazel’s diverse team of licensed providers deliver therapy and medical services virtually (in school or at home) to over four million K-12 students — regardless of their insurance status or ability to pay. Hazel aims to remove all barriers to the mental and physical health care that children need to thrive: in school, at home, and in life. Helping students and their families feel better takes a team of smart, dedicated people. As an integral member of the Hazel team, you will

• Make an Impact: Work with a team that is increasing equitable access to quality health care experiences for students and their families.
• Enable Scale: Work with a team that is building and professionalizing a high growth high impact social enterprise.
• Feel Valued: Work with a team that is being compensated competitively, developed professionally, and celebrated frequently for making a meaningful difference.

Check us out at Hazel Health Careers. The Role: The Medical Billing Associate will support various functions of the Hazel Revenue Operations team, including securing real-time insurance benefits eligibility and coverage information for patients, validating and submitting claims, and following up on rejected and denied claims. This role requires experience with eligibility and claims adjudication for multiple states’ Medicaid, Managed Medicaid and commercial plans. Location: Remote What You’ll Do: Insurance Verification and Claims Submission:

• Use electronic revenue cycle management system to verify insurance, adjudicate billing status based on contracting and credentialing data, and submit claims.
• Review eligibility verification responses to determine benefit limitations, alternate payors, and/or other restrictions and appropriately update patient records and claims.
• Secure prior authorization and obtain other key billing-related information from payor portals as required.
• Accurately document key insurance and other claim-related data in the patient’s record, in the correct format.
• Review claims and invoices for data completeness and accuracy at a detailed level, including appropriate ICD-10 and CPT coding and modifiers.

Claims Management

• Follow up on rejected and/or denied claims based on specific codes. Refile claims with corrections when possible. Close and write off invoices that are not recoupable.
• Create and utilize spreadsheets and other tools to track data and workflow.

General

• Ensures compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility, including supporting other functions and teams within Revenue Operations.

Minimum Requirements:

• Passionate for our mission to transform healthcare for all children
• 2+ years experience in insurance verification and billing with experience in Medicaid, Managed Medicaid and commercial payers across multiple states. Experience with California and Florida Medicaid strongly preferred.
• 2+ years experience with electronic healthcare billing and eligibility verification systems
• 1+ years or more experience with Google Suites (google sheets, google docs)
• 1+ years experience with claims adjudication/follow-up
• Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals
• Highly detail-oriented and comfortable with insurance, claims, and other data sources
• Ability to understand how job performance affects the outcomes of key performance indicators such as billing rates, denials, and write-offs.
• 2+ years / Associate Degree, preferred
• Self-motivated with excellent decision making and time management skills
• Ability to meet remote work expectations, including but not limited to active participation in virtual meetings, real-time communication via Slack, and meeting team productivity and quality targets.
• Exceptional communication and collaboration skills, especially in a virtual work environment.

If you’re excited about this role but your past experience doesn’t align with every qualification in the job description, we encourage you to apply anyway. Total compensation for this role is market competitive, with a base salary range of $22.10/hr – $26.00/hr, a 401k match, healthcare coverage, paid time off, and a broad range of other benefits and perks. Review our benefits at Hazel Health Benefits. We believe talent is everywhere, and so is opportunity. While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States. While some roles may require proximity to our San Francisco or Dallas offices, remote roles can sit in any of the following states: AZ, CA, CO, DC, DE, FL, GA, HI, IA, IL, ME, MD, MA, MI, MO, NE, NV, NJ, NM, NY, NC, OR, PA, SC, TN, TX, VT, VA, WA and WI. Please only apply if you live and work full-time in one of the states listed above or plan to relocate to one of these states before starting your employment with Hazel. State locations and specifics are subject to change as our hiring requirements shift. We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Qualified candidates with arrest and conviction records will be considered for employment in accordance with the Fair Hiring laws. Learn more about working with us at Hazel Health Life. Apply tot his job Apply To this Job