L1 Medical coding associate

ROLES AND RESPONBILITIES

• Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.

• Calling Insurance Companies to follow up on Claims filed, to expedite payment.

• Should possess knowledge in Analysis, AR calling and denial management.

• Undertakes denial follow-up and appeals work wherever required.

• Reviewing, appealing unpaid and denied claims.

• Ability to document and take appropriate action of all claims which have been analyzed and followed-up in the required software.

• Verifying patient’s insurance coverage Answering patient billing questions.

• Should possess knowledge in eligibility and verification calls (E&B).

• Experience in navigating on call with insurance companies.

• Analyses outstanding claims and initiates collection efforts as per the aging report.

DESIRED CANDIDATE PROFILE

• Should have 0 to 2 years of experience in Medical Billing.

• Qualification: Any Graduates With strong Analytical Skills

• Strong Written & Oral Communication

• Immediate Joiners Preferred
• Should be in Vellore.
• Required Shift Flexibility

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.

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