Optimize Insurance Reimbursement Specialist

1 day ago

Caloocan City, National Capital Region, Philippines beBeeReimbursement Full time $45,000 - $55,000
Medical Biller AR Follow-up Specialist

We are seeking a highly skilled Medical Biller AR Follow-up Specialist to optimize insurance reimbursement for healthcare practice owners. The ideal candidate will have expertise in US-based AR follow-up and charge and payment posting, as well as a strong understanding of the US medical insurance industry and insurance claims processing cycle.

Key Responsibilities:
  • Analyze claim denials, underpayments, and delays to maximize insurance reimbursement.
  • Discover root causes for medical insurance claim denial, underpayment, or delay and propose effective resolutions.
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Plan and execute medical insurance claim denial appeal process.
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on their insurance claims.
Required Qualifications:
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is a must.
  • Excellent listening, communication, and problem-solving skills.
  • Ability to work autonomously and prioritize tasks effectively.
Benefits:

The successful candidate will enjoy a challenging and rewarding role with opportunities for growth and development.

Additional Information:

Please note that this job description is a summary of the main responsibilities and qualifications. The successful candidate will be required to undergo additional training and orientation before commencing work.

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