Claims Specialist

Claims        ·       Remote in San Mateo, CA       ·       Full time

Cala Health Inc., an award-winning bioelectronic medicine company headquartered in the San Francisco Bay area, is transforming the standard of care for chronic disease. The company’s wearable neuromodulation therapies utilize electricity as medicine, merging innovations in neuroscience and technology to deliver individualized peripheral nerve stimulation, while its vertically integrated commercial model is transforming the delivery of prescription therapies. Cala Health’s lead product, Cala Trio™, is the only non-invasive, wrist-worn prescription therapy currently available for essential tremor. Cala Health has new therapies under development in neurology, cardiology, and mental health, and is backed by leading investors in both healthcare and technology

Our DNA

We’re here to empower people to experience greater control over their chronic conditions and more freedom in their daily lives. Our science-first approach and rapid yet rigorous clinical development means we seek excellence in everything we do for customers and our teammates. Inspired by our work, and the talented team members who work with us, we’re united in our collective goal to bring about improved, lasting patient outcomes. Join us in building a better future.

The Opportunity

Cala Health is seeking a Claims Specialist to join our growing team. The role will report to the Claims Manager. This individual will act as a professional representative of our organization. We are seeking a positive, highly motivated claims specialist to join our team remotely. In this position, employees will be responsible for reviewing documentation for medical necessity and submission of said documentation.

Responsibilities:

• Organizes and prepares insurance claims for daily submissions
• Reviews Required Documentation
• Research How to Properly Submit Claims
• Communicates and works with clients and cross-functional departments to identify potential risks and solutions for performance improvement
• Assists leadership with implementation of procedure changes
• Assists with special projects and compiles reports
• Responds to inquiries regarding accounts receivable denials and processes
• Assures quality of work is maintained
• Manages workload and completes assignments timely

Qualifications and Experience:

Required:

• Bachelor or Associate Degree in Business or Finance preferred but not required.
• Strong computer skills
• Capable user of Microsoft Office products including Outlook, Excel, and Word.
• Self-starter who takes initiative to overcome challenges
• Excellent written and verbal communication skills
• Must be detail oriented and able to plan, organize and complete tasks in a timely manner
• Ability to multi-task and work independently

Preferred:

• Brightree software knowledge
• At least 2(+) years of DME accounts receivable billing experience

Cala Health believes our success is based on diversity of people, teams and thinking. We offer all employees the tools, training and mentoring they need to succeed. Our selection process is driven by the key requirements for the role rather than bias or discrimination on the basis of a candidate’s sex, gender identity, age, marital status, veteran status, non-job- related disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.

If you or someone you know might be interested in this position, please submit a resume & an introductory email to careers@CalaHealth.com.

Cala Health believes our success is based on diversity of people, teams and thinking. We offer all employees the tools, training and mentoring they need to succeed. Our selection process is driven by the key requirements for the role rather than bias or discrimination on the basis of a candidate’s sex, gender identity, age, marital status, veteran status, non-jobrelated disability/handicap or medical condition, family status, sexual orientation, religion, color, ethnicity, race or any other legally protected classification.

Please click here to apply.