Medical Biller – RCM – Part time (India)

Part time Neolytix Email Job
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Job Detail

  • Qualifications Degree Bachelor
  • Job Category Fully Virtual
  • Functions Billing, Coding, Credentialing
  • Specialty Multi-Specialty

Job Description

Job Description

> The medical Billing Specialist is responsible for entering medical charges, posting Insurance and patient payments, in a timely and accurate manner, denial and rejection management and account receivable follow up.

> Work directly with the insurance company, healthcare provider, and the patient to get claims processed and paid.

> Verifying insurance and benefits on behalf of the client and patient

> Check eligibility and benefit verification. Verifying receipt of all patient registration data from the client and notifying the client of potential insurance benefits problems.

> Prepare, review, and transmit claims post payments using billing software, including electronic and paper claim or ERA / EOB processing.

> Follow up on unpaid claims within the standard billing cycle time frame.

> Research and appeal denied claims.

> Meet individual and departmental standards about quality and productivity.

> Ability to handle protected health information in a manner consistent with the Health Insurance Portability and Accountability (HIPAA).

> Review patient bills for accuracy and completeness and obtain any missing information

> Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

> Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid. Decent knowledge of basic coding rules for billing. Should be able to help in registering to Insurance portals and EDI, ERA and EFT enrollment

> Responsibilities and Duties

> * Able to perform eligibility verification, precertification, with Insurance companies thru Insurance portals like Availity and over the phone.

> * Should be able to create manual claims or electronic claims from superbills in PMS

> * Ability to post ERA (Electronica Remittance Advice) & EOB (Explanation of Benefits) from various systems and websites.

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> * Calling insurance companies and obtaining claim status with different payers & documenting it in the system.

> * Denial and Rejection management and Account receivable follow up

> * Ability to create efficient follow up system with all Insurance thru insurance portals.

> * Credentialing knowledge would be an added advantage

Required skills

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