About Carda

Rehab is a pain. So much so that only 10% of qualifying Cardiac and Pulmonary patients attend, which results in complications for patients and at least $190B in excess costs. At Carda Health, we’ve reimagined rehab. Our program allows patients to complete engaging, compassionate, and life-saving rehabilitation remotely.

Who are we?

We are a team of clinicians, data scientists, mathematicians and repeat entrepreneurs. And one recovering financier. Our united belief is that technology and data, when applied compassionately, can transform individuals’ lives and change even the most entrenched industries. Carda was founded by Harry and Andrew, two friends from Wharton who share a family history of heart disease and experience with Cardiac Rehab. We now work with some of America’s largest and top-ranked hospitals and most innovative insurers. We are fortunate to be backed by some of the best investors in the business who have also backed the likes of Livongo, Hinge Health, and Ro to name a few.

What we're looking for

We are looking for a Certified Medical Biller with experience in the cardiology/pulmonology fields and incident to billing. You have demonstrated your ability to build processes from the ground up and improve them over time. You are willing to operate

This position is open to part-time and full-time candidates.

In this role, you'll:

  • Create invoices for services provided within our EMR system
  • Ensure appropriate charges are applied to invoices within the EMR/PM system for services provided
  • Ensure appropriate CPT, HCPCS, and ICD-10 codes are billed
  • Post payments from third party payers and patients that are collected and scanned into the EMR/PM within a specified timeframe.
  • Ensure accurate and timely auto-posting activity in client’s EMR/PM system using ERA/ERN files downloaded from client’s clearinghouse.
  • Review auto-posted activity to ensure accuracy. Correct information incorrectly posted.
  • Process rejections and denials within a short timeline
  • Determine if claims need to be re-filed or submitted for appeal
  • Review and respond appropriately to appeal requests for third party payers within the time frame required by the payer.
  • Make routine inquiries on filed insurance claims to determine status with updated notes within the EMR/PM system.
  • Verify patient insurance benefits and eligibility. Determine time of service (TOS) financial responsibility.
  • Document work performed and action taken within the EMR/PM system.
  • Review patient information in the EMR/PM system to determine if adjustments made on accounts are valid and whether additional approval is required. Processes all approved adjustments.
  • Answer patient phone calls concerning balances and adjudicated insurance claims posted into the EMR/PM system.
  • Other related job duties that may be assigned from time to time to assist with revenue cycle management projects and tasks.
  • Contribute actively to a warm and positive working environment at Careda Health.
  • Work remotely and flexibly — we’re all remote too!

What you bring to the team:

  • 3+ years of professional certified medical billing expertise
  • Extremely detail oriented
  • Experience working with all major payer claims departments to guarantee timely payment
  • Demonstrated ability to create and then continuously improve billing processes and practices within an organization
  • An ability to complete tasks in ⅓ of the time of your peer employees
  • Demonstrable interest in learning and adopting new tools and techniques

We are an equal opportunity employer and value diversity at Carda. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.