Medical Billing Associate

Objective: Support the Billing Manager and Director of Corporate Operations by completing medical billing processes under value-based care and fee-for-service contracts.

About Us: Delfina provides a leading pregnancy care data platform to improve maternal and child health outcomes.

‍About You: You are an organized and detail-oriented professional with a passion for operational efficiency and teamwork. Ideally, you have several years of experience in medical coding and billing with additional experience in value-based care models. Your proactive mindset, adaptability, and excellent communication skills make you a key contributor to successful billing execution.

Responsibilities:

• Complete billing uploads in EHR systems based on exported reporting 
• Cross-reference member lists through EHR systems and payor portals to complete eligibility assessments 
• Maintain a high level of data integrity through meticulous notetaking and error-free data entry across multiple systems and platforms
• Differentiate value-based and fee-for-service claims based on context of payor agreements
• Prepare reporting for billing and operations teams on an as-needed basis
• Review provider documentation to ensure coding accuracy

Qualifications: 

• 2-5 years of experience minimum in medical billing, including at least one year experience in Medicaid billing

• Proficiency with 

• A variety of EHR systems (e.g. Tebra, athenaOne, eCW)

• Microsoft Office and Adobe tools (e.g. Excel, Word, Acrobat)

• Google Suite (e.g. Sheets, Docs)

• Proactivity in assessing missing data from payor portals and ability to bridge data gaps

• High level of integrity and attention to detail; adaptability to learning various state guidelines

• Desire to work collaboratively with medical, tech, and operations teams

• Openness to, and willingness to provide, constructive feedback to improve operational processes

Preferred Qualifications:

• Familiarity with Texas-specific payors and billing guidelines
• Experience working with healthcare technology organizations
• Experience working with value-based care contracts
• Experience in maternal, nutritional, and/or behavioral health fields