L2 l3 medical billing

Initiate telephone calls to in requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments. Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow up where required. Review denials with Billing Account Liaison to determine necessary steps for claim review. Document actions taken in claims billing summary notes.

Using Coded Data to produce & submit Claims to Insurance Companies. Working directly with the Insurance Company, Healthcare Provider & Patient. Reviewing and Appealing Unpaid and Denied Claims. Answering Patients' Billing Questions.

Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable. Good understanding of Accounts Receivable. Calling Insurance Companies to follow up on Claims filed, to expedite payment. Should possess knowledge in AR analysis, AR calling and denial management. Undertakes denial follow-up and appeals work wherever required. Reviewing, appealing and rejecting unpaid and denied claims. Documents and takes appropriate action of all claims which has been analyzed and followed-up in the clients software. Verifying patients insurance coverage Answering patient billing questions. Should possess knowledge in eligibility and verification calls (EV calls). Experience indirectly working with insurance companies. Analyses outstanding claims and initiates collection efforts as per the aging report.

Responsible for Posting: Medical Charges, Payments, Journal Entries. Entries to be done in Accurate & Timely Manner. Process Claim Denials. Verify Correct Insurance Filing information on behalf of the Client and Patient. Ability to Prioritize and Manage work queue. Ability to work independently as well as in a Team Environment. Strong Verbal and Written Communication Skills. Strong Analytical and Problem-solving Skills

Should have 1 to 2 years of experience in Payment posting. To understand Medical billing concepts and terminologies to post payments in the billing software. Exposure to Payment posting and denials. Downloading EOBs from the website, Analyzing and posting the Bank statement vs Reconciliation log missing payments. Apply for insurance payments according to specific dates and procedures according to the EOB. Having basic knowledge of insurances to identify Par /Non-Par/ WC / MVA/ etc. Review and assess adjudicated claims for timely and proper payment of outstanding balances. Verify the validity of account balance by researching, reviewing and ensuring accuracy of payment and adjustment posting. Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes. Responsible for achieving the team s performance standards (KPIs and SLAs).

Should have been in AR Analyst for at least 6 month - 3 years in medical billing. Good knowledge in Healthcare concept. Knowledge on Denial management. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client adhere to the quality standards. Must be spontaneous and have high energy level. Must be familiarizing in global action.Knowledge on various report generation.

Should have been in AR Analyst for at least 6 month - 3 years in medical billing. Good knowledge in Healthcare concept. Knowledge on Denial management. Understand the client requirements and specifications of the project. Ensure that the deliverable to the client adhere to the quality standards. Must be spontaneous and have high energy level. Must be familiarizing in global action. Knowledge on various report generation.

Candidate's with Good typing speed and accuracy (>35 WPM/CPM and 98% accuracy). Any graduate / post graduates with prior experience in data entry / litigation / e-publishing can apply.C andidates with Experience in Medical Coding/ Demos/ Charges / Payments / AR Analysis. Working knowledge in MS office preferred. Flexibility in shifts required Good communication skills. Good Understanding ability.

Should have experience in working with US federal insurances. Should be knowledgeable on denial codes. Should have experience in understanding all major insurance EOBs Work with AR reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement, bill primary and secondary carriers for services provided, and collect on past due accounts. Research accounts: request additional information such as referrals, scripts, medical reports, and/ or call hospitals. Efficient and timely processes of services for follow up. Work EOBs to post rejection codes, follow up on rejected claims, and appeal denials; develop and track written correspondence. Complete adjustments, check refund request forms, and special transaction forms. Work with edit reports to identify problems with transmission claims. Answer patient inquiries, maintain patient s account information, and resolve problems as needed. Identification of Issues. Review and Action on Call Notes.

Audit intermediate and advanced level claim transactions, including reinsurance and high dollar claims. Monitor and report workloads on a daily, weekly, and monthly basis Thoroughly understand the requirements on all work activities and processes being reviewed Meet or exceed audit productivity and quality standards to maintain the integrity of the claim sample. Maintain and report individual and team claim sample and backlogs, ensuring that all claims within sample are audited. Determine error sources and accurate entry of claim audits into the Quality Database daily. Review error trend reports and participate in rebuttal process for continuous improvement; providing feedback to Quality Assurance and Claims teams. Perform focused audits. Attend and actively participate in Quality Assurance Team meetings. Perform other duties as assigned.

Min.1yr 3yrs of Experience in AR Calling - US Healthcare process. Graduation or Under Graduates (Preferable with a formal training in RCM). Excellent spoken English skills with better accent. Awareness of US Healthcare Industry and RCM. MS Word and MS Excel and excellent telephone etiquette required.