Medical Biller jobs in United States
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Mahmee · 1 month ago

Medical Biller

Mahmee is on a mission to make the United States the best place in the world to give birth by providing wraparound pregnancy and postpartum care. The Medical Biller will support the maintenance and refinement of internal revenue cycle reporting systems, ensuring accurate tracking of insurance billing performance and reimbursement trends.

Health CaremHealthWomen's

Responsibilities

Supporting the maintenance of Mahmee’s internal revenue cycle reporting framework, including providing accurate, validated data inputs for recurring reports used by the Director of Operations and other leadership stakeholders
Reviewing insurance billing activity and auditing remittance receipts to ensure accurate revenue recognition and identify underpayments, overpayments, or billing anomalies
Investigating discrepancies in Explanation of Benefits (EOBs) or insurer reimbursements and collaborating with internal stakeholders to resolve them
Coordinating with internal teams to ensure proper CPT code usage, modifier application, and encounter documentation that supports clean claims
Identifying gaps or inefficiencies in billing workflows and recommending improvements to reduce denials and improve reimbursement timelines
Monitoring claim status, denials, and aged receivables to identify patterns in payer behavior or internal billing issues that require intervention
Partnering with clinical and operational teams to ensure documentation and workflows align with payer requirements for authorization, eligibility, and reimbursement
Supporting internal training and documentation for billing-related workflows, helping other teams understand how clinical activity translates to accurate billing

Qualification

Healthcare billing experienceCPT/ICD codingPayer reimbursement processesInsurance billing systemsFinancial complianceAnalytical skillsOrganizational skillsProject management skillsAdaptabilityCollaboration skills

Required

2–3 years of experience working in healthcare billing or revenue cycle operations, with a working knowledge of payer reimbursement processes, CPT/ICD coding, EOB review, and denial management
Experience working within a healthcare services environment, supporting billing processes for medical practices, outpatient clinics, or similar settings
Collaborating cross-functionally with clinical, operational, or administrative teams to ensure complete and accurate documentation, claim submissions, and follow-up activities that support the revenue cycle
Understanding of financial compliance and documentation standards related to healthcare billing and payer requirements
Working in a healthcare services environment, particularly with a focus on maternal and/or infant health
Collaborating with care teams that include doulas, nurses, lactation consultants, mental health specialists, nutrition coaches, and other health professionals to ensure financial processes support patient care operations
Financial compliance and internal controls related to healthcare delivery and revenue cycle management
Strong analytical and financial acumen, with the ability to identify discrepancies, investigate issues, and ensure data accuracy in billing and reimbursement processes
Familiarity with insurance billing systems and payer portals, including tools such as Tebra (formerly Kareo), Office Ally, Availity, and Change Healthcare for submitting claims, verifying eligibility, reviewing remittances, and managing denials
Adaptability and systems thinking, with comfort navigating dynamic environments, optimizing workflows between internal teams and external vendors, and working with data from Electronic Health Records (EHRs) and insurance billing platforms
Organizational and project management skills, including the ability to prioritize tasks, manage competing deadlines, and operate independently

Benefits

Competitive pay plus stock options
Flexible work solutions including remote options, hybrid work schedules
Paid time off, including national holidays and your birthday
Health, dental and vision coverage, plus 401(k) and life insurance

Company

Mahmee

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Mahmee is an integrated maternal and infant health care delivery platform that connects patients with healthcare providers.

Funding

Current Stage
Early Stage
Total Funding
$14.04M
Key Investors
Goldman Sachs Asset ManagementArlanWasHere InvestmentsDreamit Ventures
2023-12-11Series Unknown· $1.84M
2022-05-12Series A· $9.2M
2019-07-15Seed· $3M

Leadership Team

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Melissa Hanna
Founder and CEO
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Linda Hanna
Chief Nursing Officer
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Company data provided by crunchbase