Medical Biller AR Followup Analyst

4 weeks ago


Pasig, Philippines Indicle Full time

ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

RESPONSIBILITIES
  1. Maximize insurance reimbursement for healthcare practice owners
  2. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
  3. Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment
  4. Plan and execute medical insurance claim denial appeal process
  5. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
QUALIFICATIONS
  1. Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
  2. College degree in Computer Engineering, Mathematics, or similar
  3. Hands-on experience with data analysis and data classification
  4. Good analytical skills
  5. Familiar with US medical insurance industry and insurance claims processing cycle
  6. Knowledge of ICD-10, CPT, and HCPC
  7. Understand CMS-1500 and UB-04 claim formats
  8. Experience in Vericle Software is an advantage
  9. Excellent listening, communication, and problem-solving skills
  10. Self-motivated and able to work autonomously
  11. Experience with chiropractic, physical therapy, and mental/behavioral health specialties
MUST HAVE
  1. High comfort level working on Eastern Time Zone/US Shift
  2. Good internet access at home
  3. Mobile Hotspot
  4. Laptop/Desktop of at least 8 GB
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