Insurance Reimbursement Specialist

14 hours ago

Quezon City, National Capital Region, Philippines beBeeBilling Full time $35,000 - $55,000
Medical Biller AR Followup Analyst Job Description

ClinicMind is seeking a highly skilled Medical Biller AR Followup Analyst to join our team. As a key member of our revenue cycle management team, you will play a critical role in maximizing insurance reimbursement for healthcare practice owners.

Responsibilities:

  • Maximize insurance reimbursement for healthcare practice owners by identifying and resolving issues related to claim denials, underpayments, and delays.
  • Develop and implement strategies to improve claim processing efficiency and reduce the risk of errors.
  • Interact with insurance carriers to follow up on unpaid claims, delayed processing, and underpayments.
  • Plan and execute medical insurance claim denial appeal process to ensure timely resolution.
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on insurance claims.

Requirements:

  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is required.
  • Excellent listening, communication, and problem-solving skills.
  • Self-motivated and able to work autonomously.

Benefits:

  • Opportunity to work with a leading provider of electronic healthcare records software and revenue cycle management services.
  • Competitive salary and benefits package.
  • Flexible work environment with opportunities for professional growth and development.

What We Offer:

  • A dynamic and supportive work environment.
  • The opportunity to work with a talented team of professionals.
  • Professional growth and development opportunities.

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