
Clinical Coding and Revenue Cycle Specialist
5 days ago
This role involves verifying patient eligibility and benefits for treatments, hospitalizations, and procedures.
Key Responsibilities:- Verify patient eligibility and benefits for medical services.
- Review patient bills for accuracy and completeness.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Communicate with insurance companies regarding discrepancies in payments.
- Identify and bill secondary or tertiary insurances as necessary.
- At least 6 months - 1 year experience in a BPO environment, specifically in Healthcare accounts.
- Comprehensive knowledge of medical claims, benefits, eligibilities, and appeals processes.
- Familiarity with Medicare and Medicaid guidelines.
- Excellent verbal and written English communication skills.
- Availability to work night shifts if required.
Our organization offers a competitive salary package, health insurance coverage, night differential pay, attendance bonus, paid time off, and opportunities for career advancement and professional growth.
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