Insurance Claim Resolution Specialist

7 days ago


Rizal, Philippines beBeeAnalyst Full time $50,000 - $75,000
Medical Biller AR Follow-up Analyst Job Opportunity

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
  1. Maximize insurance reimbursement for healthcare practice owners by ensuring accurate and timely claims submission.
  2. Identify root causes of medical insurance claim denial, underpayment, or delay, and propose effective resolutions.
  3. Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  4. Plan and execute medical insurance claim denial appeal processes.
  5. Collaborate with US-based practice owners and clinicians to complete and correct missing or incorrect data on insurance claims.
Qualifications
  • 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.
Must Have
  1. High comfort level working on Eastern Time Zone/US Shift.
  2. Good internet access at home.
  3. Mobile Hotspot.
  4. Laptop/Desktop of at least 8 GB.


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