Medical Biller Appeals Specialist - Work From Home

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

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