Healthcare Revenue Cycle Specialist

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeFollowup Full time $45,000 - $60,000
AR Follow-up Medical Billing Analyst

We are seeking a highly motivated AR Follow-up Medical Billing Analyst to join our team. This role offers the opportunity to work in a dynamic environment and utilize your analytical skills to maximize insurance reimbursement for healthcare practice owners.

Responsibilities:
  • Maximize insurance reimbursement by analyzing claims and identifying root causes of denial, underpayment, or delay.
  • 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.
  • Work with US-based practice owners and clinicians to complete and correct missing or incorrect data on their insurance claims.
Required Skills and Qualifications:
  • At least 6 months 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 required.
  • Excellent listening, communication, and problem-solving skills.
  • Self-motivation and ability to work autonomously.
Benefits:
  • Flexible working schedule during Eastern Time Zone/US Shift.
  • Good internet access at home.
  • Mobile Hotspot availability.
  • Laptop/Desktop with at least 8 GB of RAM.
Additional Requirements:
  • A comfortable working environment with minimal distractions.

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