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, perks, 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.
Positive 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