POD Health integrates technology and personalized care to enhance patient outcomes through Telehealth, Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and Community Health Initiatives (CHI), ensuring accessible, proactive healthcare.
Key Responsibilities:
- Prepare and submit medical claims to Medicare, Medicaid, and commercial payers.
- Verify CPT/HCPCS, ICD-10, and modifiers accuracy before claim submission.
- Review documentation for billing compliance.
- Resolve claim rejections and denials; correct and resubmit claims.
- Follow up on unpaid or underpaid claims for timely reimbursement.
- Post payments, adjustments, and reconcile accounts.
- Communicate with insurance companies regarding claim issues.
- Maintain knowledge of payer policies, NCCI edits, LCD/NCD rules, and coverage criteria.
- Ensure compliance with HIPAA and billing regulations.
- Generate and review reports to identify trends, issues, or missing charges.
Qualifications:
- High school diploma or equivalent; business administration/accounting degree a plus.
- Experience with EHR/EMR and billing software.
- CPC certification is a plus.
- Knowledge of claim lifecycle, EOBs, ERA, and electronic claim submission.
- Excellent attention to detail and problem-solving skills.
- Strong communication and organizational abilities.
- Ability to work independently and meet deadlines.
Benefits:
- Health, dental, and vision insurance
- 401(k) with company match
- Paid Vacation, Company Holidays, Sick Leave, and Floating Holidays
- Professional development opportunities
- Mission-driven work in an innovative healthcare space
Requirements & Qualifications
- Knowledge of Primary Care Practice billing, CPT/HCPCS codes, ICD-10 coding, and payer-specific billing guidelines.
- Experience with claim submission and reimbursement processes.
- Familiarity with HIPAA and billing regulations.
- Strong problem-solving and organizational skills.
- CPC certification preferred.
Benefits & Perks
- Health, dental, and vision insurance
- 401(k) with company match
- Paid Vacation, Holidays, Sick Leave, Floating Holidays
- Professional development opportunities
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$49,920 - $54,080
Remote work allowed
No
Posted
3 weeks ago