BREAK HEALTHCARE WITH US … THEN HELP US FIX IT.

Are you a passionate, driven, smart and very social person who's not afraid to take on new challenges?  Do you want to be part of a startup with intense energy but where you don't have to be a software propeller head with a waxed handlebar mustache, in a plaid shirt and skinny jeans rollin' a fixie bike with a picobrew growler sling?  Are you looking for a company where no one will ask you “what kind of animal would you be?” Are you looking for a place that rewards drive, performance and team play?  Are you looking for a team that is working to do something truly great and to have fun in the process?   Then a job on our rapidly expanding team at Column Health might be for you.

We're seeking a Full Time team member to join our team as a billing & coding associate with a minimum of 3 years experience. We are a mental health multi-clinic system seeking a billing/coding specialist to assure proper billing and coding for accurate claims reimbursement.

*THIS IS NOT A REMOTE POSITION.

THIS JOB MIGHT BE FOR YOU IF:

• You admit when you don't know the answer, but you enjoy digging in until you find it and you ask for help when you need it
• You don't get flustered easily
• You like helping people and want to make a difference
• You are motivated and wish your job had more purpose
• You are patient, level headed, and Cool Hand Luke under pressure
• You pay attention to the details… all of them
• You have a voracious appetite for learning new things, and learn quickly
• You recognize that places that say they're innovative or entrepreneurial aren't necessarily
• When things change or you don't have all the info, you roll with it
• You communicate clearly and eloquently, both verbally and in writing
• You've ever described a mullet on an aggressiveness scale
• You've done the gesture to “drop the mic” at some point in a conversation
• You can explain just about anything to anyone
• Phones don't scare you
• You like making lists
• You hit new problems before being asked to
• You take ownership without stealing credit
• You want a job where you're helped to excel into the next job up
• You want a job that's not a job as much as it is a mission

PRIMARY OBJECTIVES OF THE BILLER AND CODING REPRESENTATIVE:

• The Billing and Coding Representative is responsible for tasks related to the internal and external insurance claims submission, posting and appeals process, so that Column Health is paid quickly and accurately by third party insurers for services performed, and ensuring that clinic staff is kept apprised of patient-related issues.
• The Billing and Coding Representative is secondarily responsible for understanding and communicating changes in insurer claims policies, identifying additional procedure codes that Column Health can properly submit and ensuring that Column Health effectively utilizes all available resources to make the insurance verification and claims process as effective as possible.
• The Billing and Coding staff will work both internally and externally, on making sure that the staff's credentialing with specific payers, both individually and as a facility, are accurate and up to date.

TASK RESPONSIBILITIES:

• Insurance Claims Submissions- Daily for each clinic assigned.
• Review claims for proper ICD-10 diagnosis and CPT codes, prior to submission
• Submit claims electronically via athenahealth
• Review payer portals to verify payments and retrieve missing EOBs and ERAs- Daily for each clinic assigned
• Manage aspects of Insurance A/R, including Denials, Underpayments, Non-Payments, Appeals, Resubmissions, etc.
• Investigate, correct, and resubmit denied claims and track them in a timely fashion
• Monitor and review patient balances with Revenue Cycle Specialist, prior to electronically sending patient statements, in an effort to identify potential unexpected patient balances, due to insurance denials, underpayments, etc.
• Communicate with Clinic Managers about ongoing insurance policy changes
• Make notations in patient billing charts on unexpected insurance matters
• Other tasks as assigned
• Stay up to date on trends in billing and coding; identify and attend periodic relevant continuing education courses
• Maintain and update logins for various billing and collection sites (MA Virtual Gateway, BCBS Provider Gateway, etc.)
• Assist with credentialing matters related to our providers, to ensure a smooth claims submission process

As a member of the Column Health clinic team, you'll help us build a completely disruptive model of care and technology in an area of U.S. healthcare that is profoundly broken, and tragically inadequate – mental health and addiction treatment; you will be a part of something important.  We are a young, fast-growing startup and with us, you will shift from having a simple title with limited responsibilities to having a role to play with unlimited possibilities.  

YOU HAVE:

• A BS/BA degree from an accredited college/university and know that it's just a piece of paper

• Preferably experience working with athenahealth software.

• Billing and Coding experience

• Credentialing experience a plus

• A lot of energy… a lot… and know how to use it

• A brain and know how to be useful

• A heart and know how it can used

• Perhaps some languages you speak beyond English

Just make sure we can see where you've picked up your super powers of awesomeness and capacity to help people when writing your cover letter.  

Give us a couple references of people who can vouch for you.