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 followup and charge 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
• Excellent listening, communication, and problem-solving skills
• Self-motivated and able to work autonomously

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift
2. Good internet access at home
3. Mobile Hotspot
4. Laptop/Desktop of at least 8 GB