Welcome Back

Google icon Sign in with Google
OR
I agree to abide by Pharmadaily Terms of Service and its Privacy Policy

Create Account

Google icon Sign up with Google
OR
By signing up, you agree to our Terms of Service and Privacy Policy
Instagram
youtube
Facebook

Medical Billing Service | Data Entry Associate - Work From Home

1-5 years
Not Disclosed
10 May 6, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Communication Skills, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Narrative Writing, Technical Skill, Triage of ICSRs, WHO DD Coding

About the job

ClinicMind is a Healthcare IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Data Entry Associate, who enters billing process data, Demographics, Charge Entry and EOB / Cash Posting, Denial analysis and documentation.

Responsibilities
 

  • Maximize insurance reimbursement for healthcare practice owners
  • Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
  • 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
  • Post charges and payments

Qualifications
 

  • Minimum of 1-year experience in US-based data entry and payment posting
  • 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 with PIP claims is an added advantage
  • Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
  • Experience with Vericle software is an added advantage
  • Excellent listening, communication, and problem-solving skills
  • Self-motivated and able to work autonomously
     

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