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Vacancy for

Job Description

Responsible for contacting insurance providers on behalf of doctors/physicians in the United States and following up on outstanding accounts receivable.

To address outstanding claims from the older basket.

Shall be able to persuade the claims provider (payers) to settle their unpaid claims.

To determine the appropriateness of the patient's insurance record whether it is insufficient or vague.

Making a physical call thus adhering to international standards and existing laws for confidentiality and HIPAA regulation.

In a timely way, escalate complex compilation conditions to administration.

Examine allegations made by providers that have not been compensated by insurance agencies.

  1. Desired Profile
  2. Should be able to work in the United States Shift.
  3. Extensive experience of the Healthcare Revenue Cycle Management process.
  4. Strong written and verbal communication skills are required.
  5. Excellent computer skills, including experience of the Microsoft Office suite.
  6. Capacity to prioritise and control a work queue
  7. Ability to function both individually and in a collaborative environment.
  8. Strong analytical and problem-solving abilities are needed.
  9. Good typing skills with a speed of min 30-35 words /min.
  10. Graduate from any recognised university/Diploma holders/Pursuing graduation in correspondence

Job Description

Medical coding is the method of converting text information about healthcare facilities into numerical Diagnosis (Medical Problems) and Procedure (Treatments) Codes using the ICD-10 CM and CPT code books.

  1. Desired Profile
  2. Excellent coding abilities. Proper chart analysis and coding The process's quality must be maintained.
  3. The candidate should be able to understand what is being said.
  4. Awareness of ICD10 and ICD 11 coding, as well as CPT coding, is required.
  5. Must be well-versed in the Patient Privacy Act (HIPAA).
  6. Science Graduate from any recognised university. Bachelor in Pharmacy is preferred.
  7. ED ProFee, ED Facility, ED Observation, E/M-OP, E/M-IP, SDS, Anesthesia, Pathology (Certified prefered)

Job Description

Medical billing requires experience and knowledge of medical coding (ICD 9, ICD 10, and CPT).

Contacting insurance companies for claim inquiries and following up on claims

Claim denials and their current status

Preparation and submission of claims to payers.

Payment submission (EOB, ERAs as applicable).

Denial Management involves checking denials and payment inconsistencies on posted ERAs, EOBs, or correspondence on a regular basis, as well as following up on all statements rejected.

Previous experience with medical billing software.

  1. Desired Profile
  2. Willingness to work during US shift
  3. Excellent communication skills
  4. Solid knowledge in Medical Billing/US Healthcare Domain
  5. Graduate from any recognised university/Diploma holders/Pursuing graduation in correspondence
  6. Must be well-versed in the Patient Privacy Act ( HIPAA).

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