You haven't searched anything yet.
ClinicMind, the nation’s leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Biller AR Followup Analyst. If you’re excited to be part of a winning team, ClinicMind is a perfect place to get ahead.
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
Full Time
$57k-76k (estimate)
04/20/2024
06/19/2024
clinicmind.com
Clearwater, FL
<25