Specialist II, Medical Billing

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

Summary of Position

The Specialist II, Medical Billing reports to the Supervisor, Revenue Cycle Billing and will be responsible for a variety of tasks requiring data analysis, knowledge of insurance and billing regulations, client, and health insurance contracts to support reimbursement and collections methodology. This individual will focus on maintaining quality of medical billing for insurance verification, claim edits and claim processing. This individual will work closely in coordination with RCM (Revenue Cycle Management) leadership to ensure billing productivity and quality metrics are met for reimbursement and AR follow up.

Essential Duties and Responsibilities

• Meet department production and quality standards
• Meet project and assignment due dates and deadlines
• Knowledge of client contracts and unique billing requirements for Teladoc Health entities
• Manage inbound calls from members / internal service partners that are related to claims adjudication issues
• Research and resolve any open requests for either insurance and/or member refunds
• Escalates claim resolution to management when necessary
• Review all patient information and postings, prior to claims submission
• Submit claims to insurance carriers
• Analyzing denials and outstanding claims to determine appropriate remediation actions to resolve root causes and reduce/eliminate denials
• Follow up to see if claims are accepted or denied
• Investigate rejected claims, denial resolution review
• Verify insurance coverage and maintain accurate member eligibility status in our database
• Help automate existing processes and learn new systems
• Maintains the privacy and security of all confidential and protected health
• information
• Uses and discloses only that information which is necessary to perform the function of the job
• Performs other duties as assigned

Qualifications Expected for Position

• Associate degree preferred, or equivalent industry experience
• Minimum 2-3 years of medical billing experience
• Demonstrated ability to accurately calculate figures and reconcile accounts
• Demonstrated verbal, written and interpersonal skills, with an affinity for teamwork
• Organizational, multi-tasking and time management skills, with excellent attention to details
• Comfort and success working in a fast-paced environment with tight deadlines
• Demonstrated ability to proactively identify and resolve issues
• Experience with medical coding and billing systems
• Experience with telehealth billing preferred

The hourly range for this position is $25.00 - $32.00. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here Teladoc Health Benefits 2024. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.

Why Join Teladoc Health?

A New Category in Healthcare:  Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives.  

Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care, at every stage in a person’s health journey.  

Make an Impact: In more than 175 countries and ranked Best in KLAS for Virtual Care Platforms in 2020, Teladoc Health leverages more than a decade of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals.  

Focus on PEOPLE:  Teladoc Health has been recognized as a top employer by numerous media and professional organizations. Talented, passionate individuals make the difference, in this fast-moving, collaborative, and inspiring environment. 

Diversity and Inclusion:  At Teladoc Health we believe that personal and professional diversity is the key to innovation. We hire based solely on your strengths and qualifications, and the way in which those strengths can directly contribute to your success in your new position.  

Growth and Innovation:  We’ve already made healthcare yet remain on the threshold of very big things. Come grow with us and support our mission to make a tangible difference in the lives of our Members.  

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status or pregnancy.

Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA).  Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link.