
Insurance Claim Resolution Specialist
7 days ago
ClinicMind, the leading provider of Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is seeking a Medical Biller AR Follow-up Analyst to join their team.
Responsibilities- Maximize insurance reimbursement for healthcare practice owners by ensuring accurate and timely claims submission.
- Identify root causes of medical insurance claim denial, underpayment, or delay, and propose effective 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 processes.
- Collaborate with US-based practice owners and clinicians to complete and correct missing or incorrect data on 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 classification.
- Excellent analytical skills and 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 independently.
- Experience working 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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