Medical Reimbursement Specialist

1 week ago


Biñan, Calabarzon, Philippines beBeeReimbursement Full time $50,000 - $70,000

ClinicMind is seeking a Medical Biller AR Followup Analyst to maximize insurance reimbursement for healthcare practice owners.

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