Medical Billing and Coding Specialist

Visana Health is the world’s most comprehensive virtual women’s health clinic, providing longitudinal medical care and integrated whole person support for every phase of a woman’s life. While other women’s health companies focus on fertility and maternity, Visana is the only company focused on providing longitudinal, value-based care from menstruation to menopause, including preventive care, urgent care, and complex gynecology care.

We’ve built a best-in-class care model that dramatically improves patient outcomes and experience while reducing costs. We’re rapidly becoming the clinic of choice for leading health plans & self-funded employers, including national health plans and Fortune 200 companies, and recently raised a round of capital from world-class healthtech investors.

We’ve built a team of employees and clinicians passionate about women’s health and dedicated to revolutionizing women’s healthcare. If this mission resonates, we’d love to hear from you. www.visanahealth.com.

About The Job

We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. This role is crucial in ensuring accurate billing and coding. The ideal candidate will possess a strong understanding of medical terminology and coding systems, as well as experience in collecting payments for medical services (medical collections). This position requires a commitment to maintaining the integrity of patient information while ensuring compliance with healthcare regulations.

Location: Fully remote

Status: Part time – 24 hours a week 1099 contractor

Reporting to: Jeni Guidi, Revenue Cycle Manager

What You Will Do

• Review all claims, referencing the patient charts, prior to claim submission to ensure the coding (ICD/CPT) is representative of our complex patient population, and aligns with clinical protocols, strategic goals, and value-based care objectives.
• Review and process medical records for billing purposes, ensuring billing is accurate and all necessary documentation is complete.
• Manage medical billing processes, including submitting claims to insurance companies and following up on outstanding payments.
• Collect payments as required for services, communicating effectively with patients and insurance providers regarding billing inquiries.
• Collaborate with healthcare providers to resolve discrepancies in patient records or billing issues.
• Ensure compliance with all applicable regulations and guidelines related to medical billing and coding.
• Prepare charts for upcoming patient appointments, including verifying and updating insurance information consistent with our unique health plan contracts.
• All other duties as assigned by the Revenue Cycle Manager.

Qualifications

What You’ll Need

• Efficient in their processes and quickly adapts to complex billing and coding needs.
• Proficient in medical coding practices, including familiarity with ICD-10 codes.
• Strong understanding of medical terminology and the healthcare industry.
• Experience in a medical office environment, particularly in billing or coding roles.
• Knowledge of various medical billing systems and software applications, Athena preferable
• Excellent attention to detail and organizational skills to manage multiple tasks efficiently.
• Strong communication skills for effective interaction with patients, healthcare providers, and insurance companies.
• Ability to work independently while also being a collaborative team player.

Additional Desired Qualifications

• Experience with risk adjustment coding highly desired (CRC)
• Advanced education (post-secondary education or specialized certifications)

Benefits

Visana provides industry-leading benefits, including medical, dental, and vision insurance, HSAs & FSAs, 401(k), and more for benefits-eligible employees.

As part of your duties, you may come in contact with sensitive patient information that is governed by HIPAA. Throughout your career, you will be expected to follow the company’s security and privacy procedures to ensure our users’ information remains strictly confidential. Security and privacy training will be provided.

Visana Health is a proud Equal Opportunity Employer – we recruit, train, compensate and promote our team members based on qualifications. We know how important it is not only to include, but to actively seek out a diversity of opinions and voices.

We want to hear from you regardless of your race, religion, national origin, sex, gender identity, sexual orientation, disability, age, veteran status, or any other applicable legally protected characteristics.

If you are passionate about contributing to the women’s healthcare field through accurate billing and coding practices, we encourage you to apply for this vital role within our organization.