Job Description:
• 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.
Benefits:
• Good internet access at home
• Mobile Hotspot
• Laptop/Desktop of at least 8 GB