Medical Billing Clerk

Work Location: Sunnyvale, CA

Pay Range: $23/hr-$30/hr based on experience

Job Type: Full-Time Onsite

Our Company:

Founded in 2010, iHealth Labs is dedicated to empowering people to live healthier lives. The company is a leading provider of cloud-connected medical devices, personal health care devices, and home-based tests and is at the forefront of the digital health revolution.

In 2018, iHealth launched its Unified Care program to address the issue of managing chronic diseases. Unified Care specialists support patients at home between doctor’s appointments with remote patient monitoring (RPM) and chronic care management (CCM) to achieve better health outcomes.

In November 2021, iHealth's COVID-19 Antigen Rapid Test received Emergency Use Authorization from the U.S. Food and Drug Administration for over-the-counter sales. Since then, iHealth has become a key supplier of at-home COVID tests to the federal government, state governments, nonprofits, and individual consumers. 

iHealth Labs is a leader in digital health solutions, with a mission to revolutionize the healthcare industry by making quality health management accessible and affordable for all.

Summary: 

This position performs complete medical billing and reimbursement functions and is responsible for all aspects of the medical revenue cycle for Remote Patient monitoring, Chronic care management and Medical Nutrition Therapy services.

Duties and Responsibilities:

• Confirm patient benefits and insurance eligibility by making calls to the insurance provider

• Follow and adhere to all regulations and guidelines set by Medicare, State programs, and HMO/PPO, etc.

• Prompt submission of claims to insurance (including 837's and 1500 forms) and extract reports from billing software

• Understanding the EOB & ERA

• Engage in follow-ups with insurance companies and medical groups to address outstanding claims and denials, ensuring the resubmission of claims for payment

• Collect reimbursements and analyze the revenue data 

• Conduct detailed data audits and clean-up as scheduled and as needed

• Analyzes patient billing records for completeness and accuracy and obtains additional information and clarification as necessary

• Resolves billing discrepancies by conducting further research and correcting errors

• Maintain organized documentation of all billing and invoicing activities

• Sending out invoices and maintaining a tracking system of incoming and late payments

• Following up on late or missed payments and initiating late payment notices to relevant parties

• Adjusting patient bills by reviewing remittance advice 

• Collaborates with internal teams, supporting the efforts and needs of other departments by providing assistance in a team-oriented approach

• Maintain compliance with HIPAA(Health Insurance Portability and Accountability Act of 1996)

• Perform other related duties as required or requested

Minimum Qualifications

• Two years of experience in an office environment or healthcare-related field

• Experience with process improvement, quality control, data analysis and/or reporting

• Integrity and respect for confidentiality and privacy

• Excellent verbal and written communication, documentation skills

• Attention to detail and the ability to work with a variety of databases

• Demonstrates the ability to work independently and is self-motivated and self-directed.

• Strong organizational and time management skills to prioritize workflow and meet client requirements effectively

• Strong customer service skills 

• Ability to analyze problems and devise strategic solutions

• Experience with using Google Docs, Sheets, Slides and Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel) 

Preferred Qualifications

• Bachelor's degree in accounting, health care administration, finance, business, or related field

• Proficient in