Professional Insurance Reimbursement Specialist

1 week ago

Tanauan, Calabarzon, Philippines beBeeMedicalBiller Full time $42,000 - $63,000
Job Overview

We are 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. The ideal candidate will have excellent listening, communication, and problem-solving skills, as well as the ability to work autonomously.

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.
Required Skills and Qualifications:
  • Minimum of 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience in Vericle Software is a must.
  • Excellent listening, communication, and problem-solving skills.
  • Self-motivated and able to work autonomously.
Benefits:
  • Work-from-home opportunities.
  • High comfort level working on Eastern Time Zone/US Shift.
  • Good internet access at home.
  • Mobile Hotspot.
  • Laptop/Desktop of at least 8 GB.
Seniority Level:
  • Entry-level position.
Employment Type:
  • Full-time employment opportunity.
Job Function:
  • Healthcare provider services.
Industries:
  • Embedded software products.

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