Job Description
ClinicMind is a Healthcare IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Data Entry Associate, who enters billing process data, Demographics, Charge Entry and EOB / Cash Posting, Denial analysis and documentation.
RESPONSIBILITIES
Ā Maximize insurance reimbursement for healthcare practice owners
Ā Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
Ā Interact with the US-based insurance carriers to
Ā follow-up on unpaid claims, delayed processing, and underpayment
Ā plan and execute medical insurance claim denial appeal process
Ā Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
Ā Post charges and payments
QUALIFICATIONS
Ā Minimum of 1-year experience in US-based data entry and payment posting
Ā Familiar with US medical insurance industry and insurance claims processing cycle
Ā Knowledge of ICD-10, CPT, and HCPC
Ā Understand CMS-1500 and UB-04 claim formats
Ā Experience with PIP claims is an added advantage
Ā Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
Ā Experience with Vericle software is an added advantage
Ā Excellent listening, communication, and problem-solving skills
Ā Self-motivated and able to work autonomously
MUST HAVE:
Ā High comfort level working on Eastern Time Zone/US Shift
Ā Good internet access at home
Ā Mobile Hotspot
Ā Laptop/Desktop of at least 8 GB
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