Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
Job Summary
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Responsible for meeting daily/weekly productivity and quality reasonable work expectations.
Matching Summary
Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
Skills & Requirements
Must-have
accounts receivable follow-up
denial management
US healthcare
ambulatory experience
CMS-1500 Billing
professional billing experience
appeals process knowledge
Nice-to-have
work independently with minimal supervision
assertive in resolving unpaid claims
multi-task and accurately process high volumes
strong organizational and time management skills
Key Requirements
3 Years of experience in accounts receivable
3 Years of ambulatory experience
Hands on experience in CMS-1500 Billing
Knowledge of appeals process
High School (HSC) or graduate or equivalent
Knowledge of medical terminology, ICD10, CPT, and HCPC coding