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Medical Billing Service | Data Entry Associate - Work From Home

Remote: 
Full Remote
Contract: 
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Offer summary

Qualifications:

Minimum of 1-year experience in US-based data entry and payment posting., Familiarity with the US medical insurance industry and claims processing cycle., Knowledge of ICD-10, CPT, and HCPC, as well as CMS-1500 and UB-04 claim formats., Excellent communication and problem-solving skills, with the ability to work autonomously..

Key responsabilities:

  • Maximize insurance reimbursement for healthcare practice owners.
  • Analyze and discover root causes for medical insurance claim denials and underpayments.
  • Interact with US-based insurance carriers to follow up on unpaid claims and delayed processing.
  • Post charges and payments, and assist in correcting any missing or incorrect data on insurance claims.

ClinicMind logo
ClinicMind Information Technology & Services SME https://www.clinicmind.com/
201 - 500 Employees
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Job description

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

  1. Maximize insurance reimbursement for healthcare practice owners
  2. Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
  3. 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

    1. Minimum of 1-year experience in US-based data entry and payment posting
    2. Familiar with US medical insurance industry and insurance claims processing cycle
    3. Knowledge of ICD-10, CPT, and HCPC 
    4. Understand CMS-1500 and UB-04 claim formats
    5. Experience with PIP claims is an added advantage
    6. Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties  is an added advantage 
    7. Experience with Vericle software is an added advantage 
    8. Excellent listening, communication, and problem-solving skills
    9. 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

    Required profile

    Experience

    Industry :
    Information Technology & Services
    Spoken language(s):
    English
    Check out the description to know which languages are mandatory.

    Other Skills

    • Self-Motivation
    • Communication
    • Problem Solving

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