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Medical Biller AR Followup Analyst - Work From Home
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ClinicMind is a leading healthcare SaaS platform that helps providers improve their practice financial performance, drive sustainable growth, and enhance patient care with integrated EHR, RCM, and Patient Engagement automation and excellent service solutions.
RESPONSIBILITIES
- Maximize insurance reimbursement for healthcare practice owners
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
- Interact with the 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
QUALIFICATIONS
- Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
- College degree in Computer Engineering, Mathematics, or similar
- Hands-on experience with data analysis and data classification
- Good analytical skills.
- Familiar with US medical insurance industry and insurance claims processing cycle
- Knowledge of ICD-10, CPT, and HCPC
- Understand CMS-1500 and UB-04 claim formats
- Experience in Vericle Software is an advantage.
- Excellent listening, communication, and problem-solving skills
- Self-motivated and able to work autonomously
- Experience with chiropractic, physical therapy, and mental/behavioral health specialties
MUST HAVE:
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop of at least 8 GB
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