This is a work from office position only.
Ar Associate-
Ideal candidate must have following:
Maximize insurance reimbursement for providers Must have work experience of Physician Billing process.
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 submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process.
Must have work experience in Personal Injury and Workers Comp AR. Comfortable talking to attorney and adjustors.
Must be proficient in denial management and appeal process.
Must have excellent documentation skills for maintaining SOPs/guidelines/notes.
Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims. Must be comfortable in AR calling and have relevant experience.
Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.
Should be able to track and follow up on claims within given TAT.
Must be comfortable with other voice process as per business requirement such as patient calling.
Required Candidate profile:
Completed graduation. Other formal education or training on a practice management system using patient accounting will be added advantage.
Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.
Must have at least 1+ yrs. experience in physician billing; specifically, chiropractic, mental health, behavioral health etc.
Understand CMS-1500 and UB-04 claim formats.
Basic knowledge of collection laws, rules, and regulations.
Knowledge of medical billing software, preferably Tebra, Therapy Notes, Simple Practice, Theranest, ECW, Epic or any other similar.
1 - 4 Years
3 Openings
2.5 - 5.0 Lac/Yr
Face-to-Face interview
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