[Hiring] Claims and Billing Specialist REMOTE

­­Position: Claims and Billing Specialist

Date posted: 2024-10-23

Industry: Healthcare

Employment type: Full Time

Experience: 2 years                     

Qualification: Bachelor’s Degree holder

Salary: $65K/yr – $105K/yr

Location: United States, REMOTE

Company: Cala Health

Description:

Cala Health

Claims and Billing Specialist required

About Cala

At Cala, we’re working to free people from the burden of chronic disease. We began by creating the first non-invasive prescription therapy for hand tremor. After years of careful fine-tuning and improvements, we released Cala kIQ — our most sophisticated therapy yet. Our products have empowered thousands of people to get back to their lives with confidence and ease.

But we won’t stop there. Our pioneering technology can be applied across neurology, cardiology, and so much more. It’s all part of our mission to help people in their struggle with chronic disease. We’re only just getting started.

The Opportunity

Cala Health is seeking a Claims and Billing Specialist to join our team. This team member will be responsible for managing the billing and claims process. This is a crucial role in ensuring accurate and efficient billing processes, maintaining financial integrity, and providing excellent customer service.

The compensation range for this role is market driven, with a salary range of $65,000 – $105,000. Additionally, we offer a robust benefits package. This offering is aligned with our overall compensation philosophy.

The Opportunity: A Day in the Life

• Provide prompt and knowledgeable responses to emails and phone calls ensuring that all inquiries are addressed with accuracy and efficiency
• Ensure that all communication is promptly documented in appropriate system of record, facilitating easy access to information and maintaining a comprehensive and reliable record of interactions
• Review patient documentation to ensure accuracy and qualification, maintaining high standards of thoroughness and diligence
• Manage shipments by approving and generating sales orders, promptly sending sales orders to ship and reviewing sales orders for accuracy after shipment ensuring smooth processing and timely delivery; confirm sales orders to create claims and invoices, maintaining high standards of accuracy in financial transactions
• Utilize multiple billing channels to efficiently process claims and invoices through electronic, paper and credit card payment methods
• Monitor patient billing module and update information as needed
• Collaborate with clients and cross-functional departments to identify potential risks and solutions for enhancing performance
• Review sales order reports; complete reports as needed
• Provide assistance and guidance to new and emerging business models, aiding in their development and implementation
• Actively support company goals, objectives, policies and procedures, ensuring alignment and adherence throughout their work
• Perform other duties as assigned, contributing to the overall productivity of the department

Qualifications, Skills And Experience

• Bachelor’s or Associate’s degree in Business or Finance preferred; high school or GED equivalent required
• 2+ years of DME accounts receivable billing experience required
• Medicare experience and Brightree and Salesforce Software knowledge strongly preferred
• Strong computer skills; proficiency in Microsoft and Google products required
• Self-starter who takes initiative to overcome challenges and problem solve
• Excellent written and verbal communication skills
• Must be detail oriented and able to plan, organize and complete tasks in a timely manner
• Ability to multi-task and work independently

Cala Health believes our success is based on diversity of people, teams and thinking. We offer all employees the tools, training and mentoring they need to succeed. Our selection process is driven by the key requirements for the role rather than bias or discrimination on the basis of a candidate’s sex, gender identity, age, marital status, veteran status, non-jobrelated disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.