Sr. Process Associate
3 days ago
- Responsible for Data Entry, Patients Collections, Charges, Denials, Rejections, Eligibility verification, Insurance Processing, Payment Posting, Customer Service duties.
- Must have insurance verification experience including HMOs, PPOs, and POS.
- Maximize insurance reimbursement for healthcare practice owners. Must have work experience of Physician Billing.
- Interact with the US-based insurance carriers to follow-up on submitted claims, monitor unpaid claims, delayed processing, and underpayment plan, and execute medical insurance claim denial appeal process.
- Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
- Should be comfortable with voice process. Required Candidate profile.
Relevant experience in a USA health care medical billing or RCM office capacity with related job duties and responsibilities.
- Experience of QA/Audits and Team management, client interaction/client account management will be big plus.
- Must have at least 1+ yrs. experience in physician billing; specifically, chiropractic, mental health, behavioral health, nephrology etc.
- Understand CMS-1500 and UB-04 claim formats. Typing speed, at least 45 WPM.
- Third party payer requirements. Account management experience will be a big plus.
- Must have knowledge of medical billing software, preferably Kareo, Therapy Notes, Simple Practice, YouthCare, Theranest or any other similar.
- Good knowledge of Microsoft 365 office applications like Teams, Outlook, CRM Dynamics, OneDrive etc.
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.
- Candidates must be based out of Chandigarh Tricity or nearby areas like Himachal, Punjab. Must have long term association with Chandigarh Tricity area.
- 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.
Interested candidates, kindly share resume at or call/whatsApp at
Job Types: Full-time, Permanent
Pay: ₹25, ₹35,000.00 per year
Benefits:
- Provident Fund
Work Location: In person
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