Job Description

This is a work from office position only.

Experience Required: 0.6 - 1.5 years

Ideal candidate must have following:

• 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.
• Experience reading and interpreting and entering insurance EOBs. Understand CMS-1500 and UB-04 claim formats.
• Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
• Must have basic overview of denial management and appeal process.
• Should be able to track and follow up on claims within given timelines.
• Experience in Personal Injury and Workers Comp AR will be a big plus.
• Must be comfortable with other voice process as per business requirement such as patient calling.

Required Candidate profile :

• Completed graduation. Must be comfortable with US voice process.
• Excellent verbal and written English communication skills for interacting with USA based insurance companies/patients.
• Relevant experience in a USA health care medical billing or RCM.
• Must have at least 6 months experience in physician billing.
• Knowledge of medical billing software, preferably Tebra, Therapy Notes, Simple Practice, Epic, Nextgen, Allscripts or any other similar.
• Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc.

Job Type: Full-time

Pay: ?220,000.00 - ?330,000.00 per year

Benefits:

• Food provided
• Health insurance
• Paid time off
• Provident Fund

Schedule:

• Monday to Friday
• Night shift

Supplemental pay types:

• Performance bonus

Language:

• Fluent English (Required)

Shift availability:

• Night Shift (Required)

Work Location: In person