Job Description

About Us

We empower family caregivers through our innovative Caregiver-Enabled Dementia Program, leveraging technology, AI, data, and personalized coaching to improve health outcomes, reduce hospitalizations, and generate significant cost savings for value-based healthcare organizations. Our fast-growing, collaborative environment values creativity, accountability, and impact—giving every team member the opportunity to contribute to meaningful change in the healthcare system.

Ceresti Health is a tech-enabled dementia care provider pioneering a differentiated model of care to improve family caregiver outcomes and strengthen their ability to sustain high-quality care. As one of the organizations selected by CMS to participate in the GUIDE Model, we're at the forefront of transforming dementia care nationwide.

Position Summary

The Medical Billing Specialist is responsible for providing accurate and timely billing for services provided to patients. These billing responsibilities include reviewing patient records, coding medical procedures and diagnoses, and entering data into appropriate billing software. They must also be able to communicate effectively with providers, payers, and patients. The position requires strong organizational and interpersonal skills, as well as knowledge of medical terminology, coding, and billing processes. Additionally, a Medical Billing Specialist must be able to monitor billed cases, solve issues related to payment, reimbursement, and other issues

Key Responsibilities

• Review patient records to determine the services provided
• Verify accuracy of patient information 
• Process and submit claims to insurance companies
• Follow up on unpaid claims to ensure payment
• Resolve any billing disputes or discrepancies
• Generate reports to track accounts receivable
• Provide customer service regarding billing inquiry

Qualifications

• Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding
• Ability to accurately and efficiently process billing claims
• Proficiency in using medical billing software and databases
• Ability to analyze and interpret complex healthcare requirements
• Excellent problem solving and communication skills
• Accomplished in medical billing software and experienced in billing rules
• Knowledge of coding and medical terminology
• Experience working in a medical office setting
• Strength in researching governmental and payer requirements for billing and payment
• Excellent communication skills
• Able to handle multiple tasks
• Comfortable working independently and actively communicating with senior leaders
• Attention to detail
• Strong organizational skills
• Comfortable working independently 
• Able to actively communicate with senior leaders
• Adept at critical thinking and creating related action plans

What We Offer

• Competitive compensation and benefits package
• Opportunities for professional growth and advancement
• Collaborative, mission-driven work environment
• Additional benefits: remote flexibility, PTO, etc.

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