Billing Specialist jobs in United States
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Koya Medical, Inc. · 9 hours ago

Billing Specialist

Koya Medical, Inc. is a transformative healthcare company focused on developing innovative treatments for venous diseases and lymphedema. They are seeking a Billing Specialist to manage claims submissions and follow-ups with various insurance payers to ensure timely payment and compliance with regulations.

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Responsibilities

Ensure timely and accurate billing of claims via electronic or paper to Medicare, Medicaid, and Commercial Insurances in accordance with policy using primarily Niko Health claim submission software and Salesforce
Work with all payers to ensure medical claims are being processed timely and paid accurately
Analyze and post EOB payments and denials in all billing systems, ensuring correct processing and payment. Determine root cause and prevention of future rejections & denials, advising management and appeals team where necessary
Route claims and/or balances that are deemed uncollectible to Financial Patient Responsibility Review or Write Off Queues timely and appropriately
Assist and communicate effectively with our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible
Able to Identify process improvement opportunities and recommend potential solutions to improve departmental workflow
Assist with any other duties or projects on an as needed basis
Maintain regular and punctual attendance
Comply with all company policies and procedures, HIPAA and all state and federal regulations
Must meet or exceed production & quality KPI standards

Qualification

Medical billing experienceClaims processingMedicare knowledgeMedicaid knowledgeCommercial Insurance knowledgeNiko Health softwareSalesforce proficiencyAttention to detailCommunication skillsProblem solvingTeam collaboration

Required

High School diploma or equivalent, required
2 years of Medicare, Medicaid and/or Commercial Insurance experience, particularly in HME, highly preferred
Excellent oral and written communication skills required
A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing
Ability to take direction and communicate effectively with customers and employees at all levels of the organization
Ability to thrive in a fast-paced and dynamically changing organization
Must have a strong work ethic
Strong attention to detail
Ability to prioritize and manage daily responsibilities effectively
Solutions-oriented problem solver
Excellent planning, communication and organizational skills

Preferred

Some College and/or medical billing certificate, preferred
Intermediate knowledge/proficiency in Microsoft Office products and Salesforce, highly preferred

Benefits

Base + bonus compensation package
Competitive benefits program

Company

Koya Medical, Inc.

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Koya Medical is a transformative healthcare company developing breakthrough treatments for venous and lymphatic diseases to increase movement, mobility and personalized care that is unavailable with traditional compression therapy.

Funding

Current Stage
Growth Stage
Total Funding
$70.22M
Key Investors
OrbiMed3×5 PartnersArboretum Ventures
2023-11-15Series C· $30M
2022-02-03Series B· $26M
2021-01-14Series A· $11M

Leadership Team

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Damian Rippole
Chief Operating Officer & Financial Officer
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Company data provided by crunchbase