Description

ABOUT US
Circle Medical is a venture-backed Y-Combinator healthcare startup on a mission to bring quality, delightful primary care to everyone on the planet. Built by top-tier physicians, engineers, and designers, our medical practice and underlying technology have pioneered how people find and receive care.

More about us can be found on our website.

WHAT YOU’LL DO
- Review patient claims for accuracy and completeness and proactively obtain any missing payer information for inclusion
- Appeal medical insurance claim denials in a timely manner
- Ensure compliance with procedures and coding guidelines
- Answer patient inquiries related to coverage denials and coding reviews for resubmissions as necessary.
- Communicate with clinical leadership and third-party billing company on issues regarding CPT & ICD-10 coding selections

WHAT YOU’LL BRING
- Excellent verbal and written communication skills
- Excellent organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Knowledge of CPT and ICD-10 codes
- Ability to identify coding trends and areas of risk
- Proficient with Google Workspace, Microsoft Office Suite, or related software

EDUCATION & EXPERIENCE
- Associate degree in business, finance, health administration or a related field preferred
- Required - Certified Professional Coder (CPC)
- 5+ years of experience in a primary care clinic setting (preferred)
- Mental/behavioral health experience is a plus

WHAT WILL GIVE YOU AN EDGE
- Proven track record with other startups or VC funded companies
- At least five years related experience required working in accounts receivable billing, or insurance, or as a customer service representative in a medical office, hospital, or call center environment