Care Navigator - Certified Biller (Remote)

About the position Responsibilities • Receive medical claims from healthcare providers or patients. • Ensure adequate supporting documentation is provided for claims. • Interpret Explanation of Benefits (EOB) and CMS1500 forms. • Vet claims against program-specific business rules to determine payment eligibility. • Provide support for customer requests via telephone, email, fax, or other means. • Recognize operational challenges and suggest recommendations to management. • Work 40 hours per week under moderate supervision. Requirements • High School Diploma or equivalent. • Experience in claim processing required. • Active Medical Billing Certification or willingness to obtain certification. • Medical Billing experience required. • Ability to interpret Explanation of Benefits (EOB). • HIPAA trained. • Customer Service Experience preferred. • Pharmacy Technician experience preferred. Nice-to-haves • Infusion or Hospital Billing Experience Preferred. Benefits • Opportunity to be converted to a full-time employee after contract role. • Diverse corporate culture with a focus on teamwork and inclusiveness. Apply tot his job Apply To this Job