Medical Payment Poster

Responsibilities:Develop full understanding of each medical and claim payment policy, to ensure accurate diagnosis and procedure code assignment. Understand CMS/regulatory requirements, IBX/AH benefit structure, managed care rules (e.g., HMO Capitation, PPO Network Rules) and other business rules to assure diagnosis and procedure code alignmentReal-time...

If you are have at least 2 plus years experience in medical billing and you are ready to be part of our growing team as a Senior Medical Biller, Palmeira Lando OPC is looking for youWhy Palmeira Lando OPC?We are a healthcare-focused company founded by people coming from the Healthcare Industry.We are a direct company and have our own dedicated Home...

Shift Schedule: Nightshift (8PM-5AM)Work Setup: (Onsite 6 weeks training, 2X RTO per month after)Description of Duties and Responsibilities:Data and charge entry; payment posting.Encounter tracking to ensure all visits are captured.Submission of paper and electronic claims.Balancing on a daily and monthly basis.Follow up on all unpaid claims or denials, as...

Job Description:Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles, clinical...

Job Summary:We are seeking a meticulous and experienced Quality Analyst to monitor and enhance the accuracy and compliance of medical billing operations in a US healthcare call center environment. The ideal candidate will have a strong understanding of RCM workflows, call center quality metrics, and US healthcare billing standards.Key Responsibilities:Audit...

Job SummaryThe Healthcare Accounts Receivable (A/R) Specialist is responsible for the timely and accurate resolution of outstanding insurance account balances through payment collection, adjustment, or write-offs. This role ensures the integrity of billing processes and supports the overall revenue cycle through proactive follow-up and problem...

Job Summary:We are seeking a proactive and experienced Team Leader to manage a team of medical billing professionals in a US healthcare call center setting. The ideal candidate will have strong leadership capabilities, in-depth knowledge of RCM processes, and experience in handling voice and non-voice operations related to US medical billing.Key...

Responsible for the accurate review/audit of medical claims based defined claims guidelines and policies.Review claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny action done by the agentDetermine if accurate payment criteria for clearing pending claims based...

Job Qualifications:SHS Graduate or Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...

Role DescriptionResponsible for the accurate review/audit of medical claims based defined claims guidelines and policies.Review claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny action done by the agentDetermine if accurate payment criteria for clearing...