AR Retrieval Expert In Medical Billing by GS Infotech

AR Retrieval Expert in Medical Billing Candidate Application: Full Name: Contact Number: Email Address: Current Location: Position Applied For: Qualification: Year of Passout: Candidate Category: Fresher / Experienced Willingness to Relocate: Yes / No Total Years of Experience: If applicable Current/Last Drawn Salary Monthly/Annual: Notice Period: Job Description: Responsibilities: Insurance Follow-Up & Outstanding Claim Tracking: To find out the status of unresolved claims in ageing buckets, make daily outgoing phone calls and check online with US commercial and government insurance payers. Claims Denial Management & Root-Cause Analysis: Examine medical claims that have been denied, rejected, or partially paid by examining EOB/ERA statements, determining the precise denial reason codes, and taking prompt corrective action. Appeals Preparation & Re-Submission: To prepare, package, and submit formal claims appeals, reconsideration requests, and corrected claims within stringent payer timely filing deadlines, gather the clinical data, medical records, and physician notes that are required. Insurance & Patients Verify patient demographics, insurance policy numbers, group numbers, coverage effective dates, and primary/secondary coordination of benefits COB in order to make necessary corrections and submit clean claims again. Payer Compliance & HIPAA Standards Maintenance: During all verbal and written insurance interactions, strictly adhere to healthcare compliance regulations, such as the Health Insurance Portability and Accountability Act HIPAA, the Health Information Technology for Economic and Clinical Health HITECH Act, and payer-specific guidelines. Required Skills: US Healthcare Revenue Cycle Management RCM Mastery: Comprehensive knowledge of US medical billing procedures, stages of the claim lifecycle, EOB/ERA interpretation, medical terminology, and fundamental CPT, HCPCS, and ICD-10 coding guidelines. Payer Communications & Denial Resolution Proficiency: Demonstrated proficiency in contacting US health insurance providers, managing intricate claim denials, navigating payer websites, and creating persuasive appeal letters. Experience with Medical Billing Software and Practice Management Systems: Practical knowledge of medical billing and practice management software. Timely Filing & Compliance Discipline: Excellent organisational abilities to handle large claim volumes, give priority to older claims that are getting close to the deadline for timely filing, and rigorously uphold HIPAA data security regulations. Experience: 0 to 3 yrs Salary: Best in the Industries Immediate Joiner Mostly Preferred Interested Candidates Contact the HR ASAP Warm Regards, HR - Maria