
Medical Insurance Claim Specialist
1 day ago
We are seeking a skilled Medical Biller AR Followup Analyst to maximize insurance reimbursement for healthcare practice owners and work closely with US-based insurance carriers to follow up on unpaid claims.
About the Role- Maximize insurance reimbursement by identifying and resolving claim denials, underpayments, or delays
- Interact with US-based insurance carriers to resolve issues related to unpaid claims, delayed processing, and underpayment
- Plan and execute medical insurance claim denial appeal processes
- Collaborate with US-based practice owners and clinicians to ensure accurate and complete insurance claims
This role involves working closely with various stakeholders to ensure seamless insurance claim processing. The ideal candidate will have experience in US-based AR follow-up and charge and payment posting, as well as knowledge of ICD-10, CPT, and HCPC coding systems.
Requirements- Minimum 6 months of 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
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop with at least 8 GB RAM
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