We are looking for candidates with knowledge or experience in US Healthcare Medical Billing and Revenue Cycle Management (RCM).
Roles and Responsibilities:
- Handle Accounts Receivable (AR) follow-ups and denial management to resolve unpaid and denied claims.
- Perform accurate charge entry based on provider documentation and billing guidelines.
- Post insurance and patient payments, including adjustments, and review EOB/ERA details.
- Verify patient insurance eligibility, benefits, deductibles, co-payments, and coverage details.
- Review and process CMS-1500 skilled claims and ensure accurate claim submission.
- Identify claim rejections, analyze billing errors, and take corrective actions.
- Follow up with insurance companies to resolve claim and reimbursement issues.
- Maintain billing accuracy and follow payer guidelines and HIPAA regulations.
Required Skills:
- Basic knowledge of AR Denials, Charge Entry, Payment Posting, and Eligibility Verification.
- Understanding of US Healthcare Medical Billing and RCM processes.
- Good communication, analytical, and problem-solving skills.
- Ability to maintain accuracy and meet productivity targets.
Qualification: Any graduate degree preferred. Relevant Medical Billing / RCM experience is an advantage.Role & responsibilities