Viome is a wellness as a service company that applies artificial intelligence and machine learning to biological data – e.g., microbiome, transcriptome and metabolome data – to provide personalized recommendations for healthy living. We are a small, interdisciplinary and passionate team of experts in biochemistry, microbiology, medicine, artificial intelligence and machine learning.
We are seeking an Insurance Billing Specialist to oversee payments, resolve any reimbursement issues, and establish timely and efficient turn-around for all claims. The ideal candidate should be skilled at managing relationships and bureaucratic red-tape, takes initiative, and is tenacious when it comes to follow-up.
This is a full-time role at our offices in Santa Clara, CA.
Responsibilities:
Responsible for insurance billing functions including tracking, reporting and addressing complex claims requiring advanced knowledge of medical insurance systems and specialized billing procedures
Communicate with third-party payors and patients to resolve reimbursement and credit balance issues
Create and maintain insurance payment procedures for each provider
Review all payments to verify accuracy and completeness of charges; track payment timelines and follow-up as needed
Proactively research denied or incomplete payments and move claims forward based on in-depth understanding of key stakeholders and required procedures
Manage communication and documentation for claims and communications
Work collaboratively as part of a fast-paced start-up environment
Skills & Qualifications:
2+ years of experience in medical insurance billing/collections
Knowledge of PPO, HMO, and HDHP medical insurance billing
Excellent communication skills across a variety of recipients (customers, insurance carriers, coworkers, and managers)
Highly organized, assertive, and goal oriented
Ability to work independently and with a team in a fast-paced environment and prioritize responsibilities
Strong proficiency in MS Office and Google Suite
Familiarity with ZirMed, laboratory, out of network, pre-certification, or denials management
Viome is 100+ person start-up offering a successful commercial product that has generated high demand. With offices in California, New Mexico, New York and Washington, we are looking to hire team members capable of working in dynamic environments, who have a positive attitude and enjoy collaboration. If you have the skills and are excited about Viome's mission, we'd love to hear from you.