About Visana

Visana Health is a virtual women's health clinic offering comprehensive clinical care and holistic support for women. We are redesigning women's healthcare by bringing a patient-centered human touch to care for complex conditions such as chronic pelvic pain, endometriosis, uterine fibroids, heavy menstrual bleeding, and more.

About the Role

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: Full-Time with benefits

Reporting to: Jeni Guidi, Revenue Cycle Manager

Key Responsibilities

• 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.

Skills

• 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.

Preferred Experience

• Experience with risk adjustment coding highly desired (CRC)

• Advanced education (post-secondary education or specialized certifications)

Benefits & Details

• Comprehensive medical, dental, and vision insurance

• HSA & FSA options

• 401(k)

• Work alongside a passionate, mission-driven team transforming women’s healthcare

• Fully Remote

• Salary Range: $47-52k

As part of your role, you may come into contact with sensitive patient information governed by HIPAA. Visana will provide security and privacy training.

Commitment to Diversity

Visana Health is a proud Equal Opportunity Employer. We actively value diverse voices and backgrounds and welcome applicants regardless of race, religion, national origin, sex, gender identity, sexual orientation, disability, age, veteran status, or any 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.