Maximizing Healthcare Reimbursement Specialist

18 hours ago


Batangas, Calabarzon, Philippines beBeeReimbursement Full time ₱600,000 - ₱800,000
Medical Insurance Reimbursement Specialist

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
Requirements:
  • 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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