Medical Billing Specialist- RCM US Shift
Location
Ahmedabad | India
Job description
- Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
- To prioritize the pending claims for calling from the aging basket.
- Should be able to convince the claims company (payers) for payment of their outstanding claims.
- To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
- To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
- Escalate difficult collection situations to management in a timely manner. Review provider claims that have not been paid by insurance companies.
- Handling patients billing queries and updating their account information.
- Post cash and write off the contractual adjustments accordingly while working on the accounts.
- Meeting daily/weekly and monthly targets set for an individual.
- Perform research and make determination of corrective actions to improve claim resolutions.
- Monitor online claims submission and correct any rejections or denials. Should be able to perform all data entry required for Pt Payment and Ins payment.
Requirements
Graduation degree
Should be willing to work in US Shift.
Experience in Healthcare Revenue Cycle Management process.
Strong written and verbal communication skills.
Good computer skills including Microsoft Office suite.
Ability to prioritize and manage work queue.
Ability to work independently as well as in a team environment.
Strong analytical and problem-solving skills.
Should have knowledge of HMO, Medicare & Medicaid
CPT & HCPCS Coding
Should be able to identify problems with online claim submissions
Job tags
Salary
