
Medical Billing Specialist
1 day ago
Are you a skilled professional looking for a challenging role in medical billing and insurance claims processing?
About the RoleWe are seeking an experienced Medical Biller AR Follow-up Analyst to join our team. As a key member of our revenue cycle management team, you will be responsible for maximizing insurance reimbursement for healthcare practice owners, discovering root causes for medical insurance claim denial, underpayment, or delay, and proposing resolutions.
Key Responsibilities- Maximize insurance reimbursement for healthcare practice owners by analyzing claims data and identifying opportunities for improvement.
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions to ensure timely payment.
- 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 to minimize lost revenue.
- Interact with US-based practice owners and clinicians to ensure accurate and complete data submission for insurance claims.
- Minimum of 6 months experience in US-based AR follow-up and charge and payment posting.
- College degree in Computer Engineering, Mathematics, or similar field.
- Hands-on experience with data analysis and data classification.
- Good analytical skills with attention to detail.
- 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 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.
- 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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