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Billing Operations Analyst Job in South San Francisco, California

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Job Title: Billing Operations Analyst

Employer:Stealth Startup
Skills:Billing,coding,claim resolution (A/R & follow-up)
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location: South San Francisco 94080, CA, US
Date Posted:7/23/2019

We are looking for a Full-time Billing Operations Analyst to join our South San Francisco-based team. The primary responsibility of our Billing Operations Analyst is to turn patient accounts into informative pieces of intelligence.

This role requires familiarity with provider revenue cycle processes, including billing, coding, and follow-up of medical claims. It is a full-time role (we will do a month of contract work to determine fit and then convert to full-time).

We are looking for people that embody our mission to organize and use all healthcare information to reduce the cost of care, improve the patient experience and empower healthcare workers to do the most important work.

What We Do

We have a secret - a non-obvious, but very powerful wedge into healthcare which allows us to transform the system from within, while building a massive sustainable business. We are leveraging deep revenue cycle knowledge and world class engineering to develop an innovative software that will maximize efficiency within hospital business office operations. 

We've been executing rapidly - in a short period of time (just 9 months), our customers already include one of the largest health systems in the US (which does $12B in annual revenue). We are continuously looking to hire talent in billing, coding, and other revenue cycle functions. Our goal is to create a tool that allows health system staff to focus on the tasks that optimize patient experience. 

Leadership Bios

Experienced and complementary founding team who collectively have the following background: 

  • Founded or been on the founding team of multiple Silicon Valley startups

  • Senior technology leaders who previously worked at Google and graduated from Stanford CS PhD programs

  • An investor from a top VC firm who worked on deals representing ~$250M

  • A healthcare executive with deep operational expertise who previously worked with 125 hospitals

What You'll Do

  • Draw upon past experience in billing, coding, and follow-up to advance patient accounts on behalf of our hospital clients

  • Utilize data labeling to train our AI model 

  • Work out of our South San Francisco office (although work from home possible 1 - 2 days per week)

Skills & Qualifications

  • Familiarity with some or all of the following tasks: 

    • Obtaining pre-authorizations as required for medical services

    • Checking eligibility and benefits for a given patient

    • Preparing or reviewing medical claims (1500 forms/UB-04s) for completeness and accuracy

    • Transmitting medical claims (1500 forms/UB-04s) for electronic or paper processing

    • Auditing insurance payments for accuracy based off contractual discounts

    • Following up with insurance companies on unpaid/underpaid claims (rebills, appeals)

    • Identifying and billing secondary/tertiary insurance entities if necessary 

    • Reviewing accounts for applicable patient follow-up

  • Ideally Epic or Cerner certified, or at least one year or experience with either Epic or Cerner

  • Hospital Business Office experience is a plus

  • Medical coding certification is a plus

  • Proficiency in Microsoft Office (Word, Excel) or equivalent (Google Docs, Sheets)

What We Offer

  • Work with an experienced and complementary founding team consisting of serial entrepreneurs, AI experts and healthcare industry experts

  • Meaningfully own or contribute to category-defining products that fundamentally change healthcare operations

  • Competitive salary and equity grants

  • Full employer coverage for health, dental and vision insurance

  • Full employer coverage for life insurance

  • Free membership to One Medical (Concierge Clinic)

  • Flexible Vacation Policy

  • Free lunch and snacks provided in the office

  • Free gym in the office

  • Free regular shuttles from both the Caltrain and BART

  • Plenty of free parking


Email Ben Causey at benpcausey@gmail.com

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