- Manage Denial procedures
- Process guidelines management
Key Performance Areas:
- Applying patient and insurance payments and corresponding contractual adjustment/write[1]offs/Offset for all bill types to accounts.
- Electronic scanning of Explanation of Benefits
- Preparing and processing credits and patient and insurance refunds and posting.
- Resolving misdirected payments and returning incorrect payments to sender.
- Copies any zero payments (denial) to the appropriate Patient Account representative for follow-up and post.
- Appealing both denied or underpayments.
- Correct and most debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of accounts.
- Claim scrubbing and Claim submission
- Posting of Electronic Remittance Advice (ERA)
- Knowledge of Durable Medical Equipment is recommended
Skills required:
- Analytical skills
- Typing speed- at least 40 wpm
- MS office skills- MS excel proficiency is preferred
- Eye for details- error-free work
- Fair skills of English language knowledge and understanding
- Domain knowledge on medical billing is preferred but not mandatory
Educational Qualification & Work Experience
- Graduation in any stream
- Additional certification in typing, a medical prescription will be preferred
Individual abilities:
- Willing to work in night shift
- Self- driven/ self-starter
- Problem-solving ability- proactive approach to finding solutions
- Good interpersonal ability
- Career-oriented
Subodh Popalwar
Software Engineer, Memorres
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- Help us design and optimize the performance of our products.
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Qualities: Communications, Leadership, Time-Management, Thoroughness, Drive
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Software Engineer, Memorres