Maximizing Insurance Reimbursement Professional

20 hours ago

Ayala Alabang, National Capital Region, Philippines beBeeAnalytical Full time $44,000 - $58,000
Detail-Oriented Medical Biller AR Specialist Sought

We are seeking a detail-oriented professional to join our team as a Medical Biller AR specialist. This role involves maximizing insurance reimbursement for healthcare practice owners by identifying and resolving issues with claims processing.

Key Responsibilities:
  • Identify and resolve issues with claims processing to maximize insurance reimbursement.
  • 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 to ensure timely payment.
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on insurance claims.
Requirements:
  • Minimum 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 with Vericle Software required.
  • Excellent communication, problem-solving, and time management skills.
Working Conditions:
  • High comfort level working on Eastern Time Zone/US Shift.
  • Good internet access at home and a mobile hotspot.
  • Laptop/Desktop with at least 8 GB RAM.

This is an entry-level full-time position that requires strong analytical and communication skills. If you are self-motivated and able to work autonomously, we encourage you to apply.

A key responsibility of this role will be to analyze and resolve root causes for medical insurance claim denial, underpayment, or delay. You will interact with various stakeholders including practice owners, clinicians, and insurance carriers to achieve timely payment. The ideal candidate should possess excellent communication and problem-solving skills.

Candidate Requirements:

  • Must have a 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 is essential.
  • The candidate should have knowledge of ICD-10, CPT, and HCPC coding systems and understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is mandatory.

In addition to the above requirements, the ideal candidate should possess excellent time management skills, strong analytical skills, and a high comfort level working on the Eastern Time Zone/US Shift. Good internet access at home and a mobile hotspot along with a laptop/desktop with at least 8 GB RAM are also necessary.

If you are looking for a challenging yet rewarding career opportunity, we encourage you to apply for this entry-level full-time position. As a Medical Biller AR specialist, you will play a vital role in ensuring timely payment for healthcare practice owners.

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