Associate Billing and Collections Representative – Eligibility
Providence
Medical Biller, AR Follow-up Analyst
ClinicMind
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Junior
About the role
- 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
Requirements
- 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
- High comfort level working on Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop of at least 8 GB
