Job Description:
- We are looking for Accounts Receivable Executive from medical billing field for one of it's client based in USA.
- Working on CPT/ICD coding
- Review patient bills for accuracy and completeness and obtain any missing information
- Knowledge of insurance guidelines especially Medicare and state Medicaid
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment is for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Answer patient or insurance telephone inquiries pertaining to assigned accounts.
- To Communicate Effectively with Team and Clients.
- To perform the Account Receivables, Denial Management, Appeal Management.
- To maintain the protocols and documentation of each performed task.
- Any other task as assigned by the management.
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all patient or insura
- 0nce telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating cash spreadsheets, and running collection reports.
- In addition to these general duties, an individual employer may request that you perform other duties that fit with your training and background experience or provide further training for new duties.
Requirement:
1-4 Years of experience in accounts receivable follow-up / Medical billing / denial management for US healthcare customers
Fluent verbal communication abilities / call center expertise
Knowledge on Denials management and A/R fundamentals will be preferred
Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage.
Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
Apply on: work@primasystems.net