[Hiring] Medical Billing Associate @Hazel Health

Role Description As a Medical Billing Specialist, you will support the Director of Revenue cycle management in various functions of the Hazel Revenue Operations team. You will concentrate on specific regions and payors supporting the revenue cycle team by reconciling accounts, following up on rejected/outstanding claims, and collaborating with third-party partners on data and clarification requests. Attention to detail, strong organizational skills, and the ability to communicate effectively with payers and team members are crucial for success in this role at Hazel Health. This role requires experience with eligibility and claims adjudication for multiple states’ Medicaid, Managed Medicaid, and commercial plans. What You’ll Do:

• Monitor AR aging by region to identify overdue accounts and coordinate follow-ups.
• Use spreadsheets to track and analyze regional data.
• Reconcile AR regularly to resolve discrepancies and denials.
• Address payer inquiries and resolve payment issues through the appeals process.
• Identify and implement improvements in billing and AR processes.
• Ensure billing/AR practices align with accounting principles and regulations.
• Make follow-up calls to payors as needed.
• Verify insurance benefits, medical necessity, and authorization guidelines, following established processes.
• Interpret EOBs/ERAs and resolve related issues.
• Document all information correctly in patient accounts.
• Communicate with insurance providers to validate benefits and check authorization status.
• Ensure compliance with HIPAA standards.
• Perform other duties as assigned.

Qualifications

• Passionate for our mission to transform healthcare for all children.
• 2+ years of experience with medical insurance AR.
• Billing and Coding certification preferred.
• 1+ years experience in insurance verification with experience in Medicaid, Managed Medicaid, and commercial payers across multiple states.
• 3+ years or more experience with Google Suites (Google Sheets, Google Docs).
• Experience navigating state Medicaid, Managed Medicaid, and commercial insurance portals.
• Highly detail-oriented and comfortable with insurance, claims, and other data sources.
• Associates Degree preferred.

Requirements

• If you’re excited about this role but your past experience doesn’t align with every qualification in the job description, we encourage you to apply anyway.
• Total compensation for this role is market competitive, with a base rate of $26.00/hour.

Benefits

• We believe talent is everywhere, and so is opportunity.
• While we have physical offices in San Francisco and Dallas, we have embraced working remotely throughout the United States.
• Remote roles can sit in various states; please only apply if you live and work full-time in one of the listed states or plan to relocate.

Company Description

We are committed to creating a diverse, inclusive and equitable workplace. Hazel Health values the minds, experiences and perspectives of people from all walks of life. We are proud to value diversity and be an equal opportunity employer. Hazel will consider qualified applicants with an arrest or conviction record for employment in accordance with state and local laws and "fair chance" ordinances. For all Hazel positions, a criminal background check is required following a contingent offer of employment. Apply tot his job Apply To this Job