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Medical Billing Service | Data Entry Associate - Work From Home

1-5 years
Not Disclosed
10 May 6, 2024
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Communication Skills, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Narrative Writing, Technical Skill, Triage of ICSRs, WHO DD Coding

About the job

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
 

  • Maximize insurance reimbursement for healthcare practice owners
  • Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
  • 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
 

  • Minimum of 1-year experience in US-based data entry 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
  • Experience with PIP claims is an added advantage
  • Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
  • Experience with Vericle software is an added advantage
  • Excellent listening, communication, and problem-solving skills
  • Self-motivated and able to work autonomously
     

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