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| Charlie | Full-time | Fully remote
,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
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Maximize insurance reimbursement for healthcare practice owners
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Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
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Interact with the US-based insurance carriers to:
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follow-up on unpaid claims, delayed processing, and underpayment
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plan and execute medical insurance claim denial appeal process
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Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
QUALIFICATIONS
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Minimum of 6 months experience in US-based AR follow-up and appeals process
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Familiar with US medical insurance industry and insurance claims processing cycle
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Knowledge of ICD-10, CPT, and HCPC
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Understand CMS-1500 and UB-04 claim formats
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Excellent listening, communication, and problem-solving skills
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Self-motivated and able to work autonomously
ESSENTIAL FUNCTION
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Appeals process, rules, and regulations for each insurance
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Knowledge Timely Filing limits for each insurance
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Extended knowledge of Appeals process thru payer portals
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Knowledge of EOBs and contractual allowable amounts
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Knowledge of Medicaid and Medicare coverages
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Verify eligibility and benefits
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Understand Medicare and Medicaid rates
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Excellent written and verbal communication skills
MUST HAVE
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High comfort level working on Eastern Time Zone/US Shift
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Good internet access at home
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Mobile Hotspot
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Laptop/Desktop of at least 8 GB