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Medical Billing Service | Data Entry Associate - Work From Home

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Location
India
ClinicMind

Job Description

Location: Gurugram,Haryana,India

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

  1. Maximize insurance reimbursement for healthcare practice owners
  2. Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
  3. Interact with the US-based insurance carriers to
  • follow-up on unpaid claims, delayed processing, and underpayment
  • plan and execute medical insurance claim denial appeal process
  • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims
  • Post charges and payments
  • QUALIFICATIONS

    1. Minimum of 1-year experience in US-based data entry and payment posting
    2. Familiar with US medical insurance industry and insurance claims processing cycle
    3. Knowledge of ICD-10, CPT, and HCPC
    4. Understand CMS-1500 and UB-04 claim formats
    5. Experience with PIP claims is an added advantage
    6. Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
    7. Experience with Vericle software is an added advantage
    8. Excellent listening, communication, and problem-solving skills
    9. Self-motivated and able to work autonomously

    MUST HAVE:

    1. High comfort level working on Eastern Time Zone/US Shift
    2. Good internet access at home
    3. Mobile Hotspot
    4. Laptop/Desktop of at least 8 GB
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    Advice from our career coach

    ClinicMind is seeking a full-time RCM Data Entry Associate in Gurugram, Haryana, India. As an applicant for this position, it's essential to understand the responsibilities and qualifications required for success:

    • Maximize insurance reimbursement for healthcare practice owners.
    • Analyze and discover root causes for medical insurance claim denial, underpayment, or delay.
    • Interact with US-based insurance carriers for follow-up on unpaid claims, delayed processing, and underpayment.
    • Plan and execute medical insurance claim denial appeal process.
    • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
    • Post charges and payments.
    • Minimum of 1-year experience in US-based data entry and payment posting.
    • Familiarity with US medical insurance industry and insurance claims processing cycle.
    • Knowledge of ICD-10, CPT, HCPC, CMS-1500, and UB-04 claim formats.
    • Experience with PIP claims, Vericle software, chiropractic, physical therapy, and mental/behavioral health specialties is beneficial.
    • Excellent listening, communication, and problem-solving skills.
    • Must have high comfort working on Eastern Time Zone/US Shift, good internet access at home, a mobile hotspot, and a laptop/desktop with at least 8 GB of RAM.

    To stand out as an applicant, showcase your experience in US-based data entry and payment posting, familiarity with medical insurance industry standards, and excellent communication and problem-solving skills. Highlight any experience with PIP claims, Vericle software, or specialization in chiropractic, physical therapy, and mental/behavioral health. Ensure you meet the technical requirements for remote work, including working on US Shifts and having the necessary equipment at home.

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