Medical Insurance Claim Resolution Specialist

14 hours ago


Bacoor, Calabarzon, Philippines beBeeHealthcare Full time $40,000 - $55,000
Job Opportunity

ClinicMind seeks a detail-oriented Medical Biller AR Followup Analyst to work from home. This role is ideal for those who enjoy working independently, have excellent communication skills, and are passionate about resolving medical insurance claim issues.

Main Responsibilities:
  • Maximize insurance reimbursement for healthcare practice owners by discovering root causes of claim denial, underpayment, or delay and proposing 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 US-based practice owners and clinicians to complete and correct missing or incorrect data on their insurance claims.
Requirements:
  • At least 6 months of experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with the 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 is mandatory.
  • Excellent listening, communication, and problem-solving skills.
  • Self-motivated and able to work autonomously.


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