
Maximizing Healthcare Reimbursement Specialist
18 hours ago
ClinicMind is seeking a Medical Biller AR Follow-up Analyst to maximize insurance reimbursement for healthcare practice owners. This role involves discovering root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions.
Responsibilities:- Maximize insurance reimbursement for healthcare practice owners by analyzing and resolving issues with unpaid claims, delayed processing, and underpayment
- Investigate and propose resolutions for denied, underpaid, or delayed medical insurance claims
- Interact with US-based insurance carriers to follow up on unpaid claims and resolve delays in payment
- Develop and implement strategies for effective medical insurance claim denial appeal process
- Collaborate with US-based practice owners and clinicians to correct and complete missing or incorrect data on insurance claims
- Minimum of 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 working with Vericle Software is required
- Excellent listening, communication, and problem-solving skills are essential
- Self-motivated individuals who can work autonomously will thrive in this role
This is an entry-level position that requires strong analytical and problem-solving skills, as well as excellent communication and teamwork abilities.
Work Environment:- Remote work arrangement available
The ideal candidate will be able to work independently and efficiently from home, with a high comfort level working on Eastern Time Zone/US Shift hours.
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