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
Maximize insurance reimbursement for healthcare practice owners
Analyze and discover root causes for medical insurance claim denial, underpayment, or delay
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
Minimum of 1-year experience in US-based data entry and payment posting
Familiar with US medical insurance industry and insurance claims processing cycle
Knowledge of ICD-10, CPT, and HCPC
Understand CMS-1500 and UB-04 claim formats
Experience with PIP claims is an added advantage
Familiarity with chiropractic, physical therapy, and mental/behavioral health specialties is an added advantage
Experience with Vericle software is an added advantage
Excellent listening, communication, and problem-solving skills
Self-motivated and able to work autonomously
MUST HAVE:
High comfort level working on Eastern Time Zone/US Shift