Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties.
Must have insurance verification experience including HMOs, PPOs, and POS.
Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician Billing.
Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process.
Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
Experience of QA/Audits and Team management, client interaction/client account management will be big plus.
Must have at least 2+ yrs. experience in physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc.
Understand CMS-1500 and UB-04 claim formats.
Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar.
Willing to cross train and cross learn other areas of RCM.
Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.
Must have very strong work ethic and excellent attention to detail.
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