ROLES & RESPONSIBILITIES:
- Should understand the client requirements and specifications of the project and work accordingly.
- Should meet the productivity targets within the stipulated time.
- Timely input of demographic charges and time of service payment information.
- Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code.
- Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes.
- Reduce denials by correct use of modifiers, mapping, and linking codes with services.
- Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems.
Desired Candidate Profile:
- Should have 0 to 1 years of experience in Medical Billing.
- Qualification : Any Graduates With strong Analytical Skills
- Strong Written & Oral Communication
- Adequate Knowledge with MS Office Package
- Requires Fluency in typing
NOTE: Immediate Joiners Preferred ,Should be in Vellore.
Subodh Popalwar
Software Engineer, Memorres
About Wonder Worth Solutions Pvt Ltd
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Position Insurance Follow Up - 2 (ISP-2)
Shift US Shift (05:30 PM to 03:00 AM)
Job function· Checking denials from EOBs, ERAs by calling the Insurance Companies. · Calling the insurance companies for the specification of denials. · Reprocessing the claim over the phone or reopening the claims on the online portals · Filing an appeal to the insurance companies with the required information · Checking status of the appeal filed and reprocessed claims through IVR, Calls and online payer’s portal · Refilling corrected claims with coding/demographic/authorization/referral corrections. · Disputing with the insurance companies on incorrect denials. · Working on FTH (Fix The Hole) to prevent future denials · Tasking to the clients and other teams for required information · Preparing Trending Analysis on the denials and escalating to Supervisors · Finding updates from payers via call or online for billing related information and sharing with the concern team/department to prevent denials. · Responsible for updating any internal databases, electronically storing and organizing patients' records, billing details, and registration forms.
Education +2 or Graduate in any stream
Training/Work
experience Billing & collections training and/or 1 year of industry experience in the relevant function
Other specifications Good English communication (reading, writing, listening, speaking) Understanding of US healthcare, HIPAA Good at Operating Computer - software and MS office
Capable of task execution based on work instructio
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Software Engineer, Memorres