Join Our Medical Billing Team Data Process Associate
Job Description
Duties:
Demographic Entry: Accurately register patient information, including personal details, guarantor info, and secondary insurance, into the Practice Management (PM) software.
Insurance Verification: Review and verify insurance eligibility and benefits (E&B;) to ensure the patient's coverage is active for the date of service.
Charge Entry: Translate Superbills or electronic encounter forms into system entries, ensuring that CPT (Procedure) and ICD-10 (Diagnosis) codes are captured correctly.
Claim Scrubbing: Perform a preliminary audit of claims to identify missing modifiers, incorrect provider IDs, or mismatched diagnosis codes before the claim is transmitted to the clearinghouse.
Document Management: Organize and index scanned medical records, EOBs, and correspondence into the appropriate patient digital folders.
Payment Entry Support: Assist in posting payments and adjustments from EOBs into patient accounts when required, maintaining high numerical accuracy.
Error Correction:
Research and resolve Front-end Rejections caused by data entry errors or missing information flagged by the billing software.
Compliance: Maintain strict adherence to HIPAA guidelines to ensure the security and privacy of Protected Health Information (PHI).
Focus Skills:
Data Entry Speed: 40–50 words per minute at 99% accuracy is the minimum typing speed.
Basic knowledge of medical terminology, anatomy, and standard billing forms (CMS-1500).
Software Proficiency: Knowledge of RCM platforms and Microsoft Office, particularly Excel.
The capacity to identify differences between system entries and medical records.
Apply now to become an integral part of our growing team!