Medical Biller Appeals Specialist

Job description 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 Maximize insurance reimbursement for healthcare practice owners Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions Interact with the US-based insurance carriers to: follow-up on unpaid claims, delayed processing, and underpayment plan and execute medical insurance claim denial appeal process Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims QUALIFICATIONS Minimum of 6 months experience in US-based AR follow-up and appeals process Familiar with US medical insurance industry and insurance claims processing cycle Knowledge of ICD-10, CPT, and HCPC Understand CMS-1500 and UB-04 claim formats Excellent listening, communication, and problem-solving skills Self-motivated and able to work autonomously ESSENTIAL FUNCTION Appeals process, rules, and regulations for each insurance Knowledge Timely Filing limits for each insurance Extended knowledge of Appeals process thru payer portals Knowledge of EOBs and contractual allowable amounts Knowledge of Medicaid and Medicare coverages Verify eligibility and benefits Understand Medicare and Medicaid rates Excellent written and verbal communication skills MUST HAVE High comfort level working on Eastern Time Zone/US Shift Good internet access at home Mobile Hotspot Laptop/Desktop of at least 8 GB Role: Medical Biller / Coder Industry Type: Medical Services / Hospital Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate PG: Any Postgraduate About company Our mission is to help practice owners achieve business success by providing software, guidance, and billing services to build optimized, scalable, and autonomous practices .