Job Description
ClinicMind is a Healthcare IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Data Entry Associate, who enters billing process data, Demographics, Charge Entry and EOB / Cash Posting, Denial analysis and documentation.
RESPONSIBILITIES
ย Maximize insurance reimbursement for healthcare practice owners
ย Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
ย Interact with the US-based insurance carriers to
ย follow-up on unpaid claims, delayed processing, and underpayment
ย plan and execute medical insurance claim denial appeal process
ย Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
ย Post charges and payments
QUALIFICATIONS
ย Minimum of 1-year experience in US-based data entry and payment posting
ย Familiar with US medical insurance industry and insurance claims processing cycle
ย Knowledge of ICD-10, CPT, and HCPC
ย Understand CMS-1500 and UB-04 claim formats
ย Experience with PIP claims is an added advantage
ย Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
ย Experience with Vericle software is an added advantage
ย Excellent listening, communication, and problem-solving skills
ย Self-motivated and able to work autonomously
MUST HAVE:
ย High comfort level working on Eastern Time Zone/US Shift
ย Good internet access at home
ย Mobile Hotspot
ย Laptop/Desktop of at least 8 GB
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