Healthcare Revenue Recovery Specialist

1 day ago

Pulong Santa Cruz, Calabarzon, Philippines beBeeMedical Full time ₱660,000 - ₱930,000
Job Overview

ClinicMind seeks a Medical Biller AR Follow-up Analyst to maximize insurance reimbursement and resolve medical claim denials.

Key Responsibilities
  • Maximize insurance reimbursement for healthcare practice owners by effectively navigating the payment cycle.
  • Analyze root causes of medical insurance claim denial, underpayment, or delay, and propose targeted resolutions to improve overall outcomes.
  • Establish effective communication with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment, ensuring timely resolution.
  • Develop and execute a strategic medical insurance claim denial appeal process to optimize reimbursement.
  • Collaborate with US-based practice owners and clinicians to complete and correct missing or incorrect data on their insurance claims, ensuring compliance and maximizing revenue.
Required Qualifications
  • At least 6 months experience in US-based AR follow-up and charge and payment posting, with a proven track record of success.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle, including ICD-10, CPT, and HCPCS coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats, with ability to accurately navigate complex billing requirements.
  • Experience working with Vericle Software is mandatory, with proficiency in its features and functionality.
  • Excellent listening, communication, and problem-solving skills, with ability to work autonomously and prioritize tasks effectively.

Seniority Level: Entry-level

Employment Type: Full-time

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