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 appeals process
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
Excellent listening, communication, and problem-solving skills
Self-motivated and able to work autonomously
ESSENTIAL FUNCTION
Appeals process, rules, and regulations for each insurance
Knowledge Timely Filing limits for each insurance
Extended knowledge of Appeals process thru payer portals
Knowledge of EOBs and contractual allowable amounts
Knowledge of Medicaid and Medicare coverages
Verify eligibility and benefits
Understand Medicare and Medicaid rates
Excellent written and verbal communication skills
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
Role: Medical Biller / Coder
Industry Type: Medical Services / Hospital
Department: Healthcare & Life Sciences
Employment Type: Full Time, Permanent
Role Category: Health Informatics
Education
UG: Any Graduate
PG: Any Postgraduate
Our mission is to help practice owners achieve business success by providing software, guidance, and billing services to build optimized, scalable, and autonomous practices
Andra Pradesh :
Anantapur | Bhimavaram | Chittoor | Guntur | Gurgaon | Mangalagiri | Tirupathi | Visakhapatnam |Assam :
Dibrugarh | Diburghar | Guwahati |Bihar :
Hajipur | Patna |Chhattisgarh :
Bilaspur | Raipur |Delhi :
Delhi | PAN-India |Goa :
Goa | Panaji |Gujarat :
Ahmedabad | Gandhinagar | Mehsana | Tarasadi | Vadodara | Vapi |Haryana :
Ambala | Hisar | Kurukshetra | Panchkula | Rohtak |Himachal Pradesh :
Solan |Jharkhand :
Ranchi |Karnataka :
B.G Nagara | Bangalore | Belgaum | Bengaluru | Mangaluru | Mysore | Udupi |Kerala :
Kochi | Malappuram |Madhya Pradesh :
Indore |Maharashtra :
Amravati | Aurangabad | Kolhapur | Mumbai | Nagpur | Navi Mumbai | Pune | Shirpur | Tarapur | Thane |PAN-India :
Panjab :
Punjab :
Bathinda | Bela | Chandigarh | Moga | Mohali | Patiala | Phagwara | Rajpura |Rajasthan :
Banasthali | Jaipur | Pilani | Udaipur |Tamil Nadu :
Annamalainagar | Chennai | Coimbatore | Erode | Madurai | Nagercoil | Ooty | Srivilliputtur | Tiruchirappalli | Trichy |Uttar Pradesh :
Gautam buddha Nagar | Ghaziabad | Greater Noida | Jhansi | Lucknow | Mathura | Noida | Prayagraj | Varanasi |Uttarakhand :
Dehradun | Nainital | Rishikesh |West Bengal :
Kolkata |Arizona :
Chandler | Tempe | Tucson |California :
Davis | Emeryville | Foster City | La Jolla | Los Angeles | Pasadena | Riverside | San Diego | San Francisco | San Gabriel | Santa Clara | Santa Monica | Stanford |Colorado :
Denver |Connecticut :
Storrs |D.C :
Washington |Florida :
Coral Gables | Gainesville | Tallahassee |Georgia :
Atlanta |Illinois :
Abbott Park | Champaign | Chicago | Deerfield |Indiana :
Bloomington | West Lafayette |Kansas :
Lawrence |Maryland :
Baltimore | Rockville |Massachusetts :
Boston | Cambridge | Medford and Somerville | Rockland |Minnesota :
Minneapolis and St. Paul, Minnesota. |Missouri :
Fulton | St. Louis |New Jersey :
Basking Ridge | Bloomfield | Branchburg Township | Bridgewater | Brunswick | Clark | Cranbury | East Brunswick | Edison | Fairfield | Far Hills | Flemington | Hackensack | Linden | Livingston | Lyndhurst | Mahwah | Monmouth Junction | Mount Arlington | New Brunswick | Newark | Nutley | Paramus | Paterson | Peapack-Gladstone | Pine Brook | Piscataway Township | Plainsboro | Princeton Junction | Rahway | Raritan | Somerset | Somerville | South Plainfield | Sparta | Warren Grove | West Orange | Westfield | Whippany |New York :
Buffalo | Ithaca | Morningside Heights |North Caroline :
Chapel Hills | Durham | Morrisville | Raleigh |Ohio :
Columbus, |Pennsylvania :
Philadelphia | Pittsburgh |Tennessee :
Nashville |Texas :
Austin | Houston |Virginia :
Blacksburg |Washington :
Pullman | Seattle |WI :
Madison | Wausau |Wisconsin :
Baden-Wurttemberg :
Freiburg | Grenzach | Heidelberg | Karlsruhe | Konstanz | Stuttgart | Tubingen |Bavaria :
Bayreuth | Erlangen | Munich | Regensburg | Wurzburg |Berlin :
Mitte |Brandenburg :
Berlin |Hesse :
Marburg |Hessen :
Frankfurt |Lower Saxony :
Gottingen | Hannover | Leipzig |Mecklenburg Vorpommern :
Rostock |Munich :
Bavaria |North Rhine Westphalia :
Aachen | Bielefeld | Bochum | Bonn | Cologne | Dortmund | Duisburg | Dusseldorf | Munster |Rhineland Palatinate :
Mainz |Rotherbaum :
Hamburg |Saarland :
Saarbrucken |Saxony Anhalt :
Halle |Schleswig Holstein :
Kiel |New South Wales :
Sydney |Queensland :
Queensland |United Kingdom :
London |Serbia :
Belgrade |Republic of Ireland :
Dublin | Limerick |Remote :
Remote - Europe | Switzerland | Remote | Remote, USA |Makkah :
Jeddah | Najran |