
Medical Insurance Claims Specialist
1 day ago
We're seeking a highly skilled Medical Insurance Claims Analyst to join our dynamic team in this exciting opportunity.
Key Responsibilities:- Maximize Insurance Reimbursement: Work closely with healthcare practice owners to ensure timely and accurate insurance reimbursement.
- Root Cause Analysis: Identify and resolve issues related to medical insurance claim denials, underpayments, or delays.
- Insurance Carrier Interaction: Communicate effectively with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
- Denial Appeal Process: Plan and execute medical insurance claim denial appeal process.
- Data Verification: Collaborate with US-based practice owners and clinicians to complete and correct missing or incorrect data on their insurance claims.
- Minimum 6 months experience in US-based AR follow-up and charge/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 required.
- Excellent listening, communication, and problem-solving skills.
- Self-motivated and able to work independently.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Able to work in a fast-paced environment.
- High level of accuracy and attention to detail.
This is an entry-level position suitable for individuals looking to start their career in revenue cycle management. If you're passionate about working in a dynamic environment and are eager to learn, we encourage you to apply.
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