Healthcare Insurance Reimbursement Specialist
2 days ago
We are seeking a highly organized and detail-oriented individual to maximize insurance reimbursement for healthcare practice owners. In this role, you will be responsible for discovering root causes for medical insurance claim denial, underpayment, or delay, and proposing resolutions.
Key Responsibilities:- Maximize insurance reimbursement for healthcare practice owners
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose 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
- Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their 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
- Hands-on experience with data analysis and data classification
- Good analytical skills
- Familiar with US medical insurance industry and insurance claims processing cycle
- Knowledge of ICD-10, CPT, and HCPC
- Understand 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 autonomously
- Experience with chiropractic, physical therapy, and mental/behavioral health specialties
This position offers opportunities for professional growth and development. If you have the necessary skills and qualifications, we encourage you to apply.
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