Process Associate

1 week ago

Mohali, India i3synergist Full time

**Experience Required**:1 - 4 years
- Responsible for Payment posting, Co-Pay collections, Rejections Denials, Clearing house review Eligibility verification, Insurance Processing,
- Must have insurance verification experience including HMOs, PPOs, POS and IPA's.
- Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician Billing and must have software knowledge of Tebra, Simple practice, Luminello and Therapy notes.
- 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 submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and claim denial appeal process.
- Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
- Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
- Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.
- Answering patient calls as required and providing faster resolutions.
- Should be comfortable with voice process.
- Experience of QA/Audits and Team management, client interaction/client account management will be big plus.
- Must have at least 2+ yrs. experience in physician billing process.
- Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM.
- Must have knowledge of medical billing software, preferably Kareo/Tebra, Therapy Notes, Simple Practice, YouthCare, Luminello, Theranest or any other similar.

**Competencies**:

- Excellent verbal and written English business communication skills for interacting with USA based team members/physicians/ vendors/patients.
- Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team.
- Ability to work well with others and facilitate teamwork and cooperation. Positive attitude and able to follow directions.
- Willing to cross train and cross learn other areas of RCM.
- Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.
- Must have very strong work ethic and excellent attention to detail

**Job Types**: Full-time, Permanent

**Salary**: ₹250,000.00 - ₹380,000.00 per year

**Benefits**:

- Food provided
- Provident Fund

Schedule:

- Evening shift
- Monday to Friday
- Night shift
- US shift

**Experience**:

- payment posting: 1 year (required)

**Language**:

- fluent English (required)

Work Location: In person

**Speak with the employer**
+91 8288864661

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