Biller Insurance Reimbursement Specialist

1 week ago

Hagonoy, Central Luzon, Philippines beBeeAnalytical Full time ₱450,000 - ₱850,000

ClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

Responsibilities:
  1. Maximize insurance reimbursement for healthcare practice owners
  2. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
  3. Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment
  4. Plan and execute medical insurance claim denial appeal process
  5. 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:
  1. Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
  2. College degree in Computer Engineering, Mathematics, or similar
  3. Hands-on experience with data analysis and data classification
  4. Good analytical skills
  5. Familiar with US medical insurance industry and insurance claims processing cycle
  6. Knowledge of ICD-10, CPT, and HCPC
  7. Understand CMS-1500 and UB-04 claim formats
  8. Experience in Vericle Software is an advantage
  9. Excellent listening, communication, and problem-solving skills
  10. Self-motivated and able to work autonomously
  11. 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
Others:
  • No company name is mentioned.
  • All information about the company has been removed from the job description.

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