Medical Biller AR Followup Analyst - Work From Home

Pune, Maharashtra, India | Billing Data | Full-time | Allows remote

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Vericle India Pvt Ltd is a Health IT and RCM company supporting Vericle Corporation, a US-based parent company. Vericle offers cloud-based medical practice management software, including Electronic Healthcare Records, and Revenue Cycle Management Service.   We are looking for a full-time Accounts Receivable (AR) Follow Up Analyst.

 

RESPONSIBILITIES

  1. Maximize insurance reimbursement for healthcare practice owners
  2. Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
  3. Interact with the US-based insurance carriers to 
    1. follow-up on unpaid claims, delayed processing, and underpayment
    2. plan and execute medical insurance claim denial appeal process  
  4. Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims



QUALIFICATIONS

  1. Minimum of 6 months experience in US-based AR followup and charge and payment posting
  2. Familiar with US medical insurance industry and insurance claims processing cycle
  3. Knowledge of ICD-10, CPT, and HCPC 
  4. Understand CMS-1500 and UB-04 claim formats
  5. Excellent listening, communication, and problem-solving skills
  6. Self-motivated and able to work autonomously

 

MUST HAVE:

  1. High comfort level working on Eastern Time Zone/US Shift
  2. Good internet access at home
  3. Mobile Hotspot
  4. Laptop/Desktop of at least 8 GB