Job Description / Requirements
Qualifications:
Bachelor’s Degree (healthcare related course is preferred but not a requirement)
Experience in medical billing/collection in US Healthcare industry is required; however we may consider individual with strong English communication skills (written and oral) and the ability to adapt and learn medical terminology within a specific time frame
Must have strong call handling, writing and reading skillsKnowledge of CPT, HCPCS, ICD 9 and 10 (including basic understanding of Medical Terminology) is an advantage
Minimum typing speed of 45 wpmProficiency in a range of computer software applications (such as MS Word and Excel)Good analytical skills
Excellent organization and time management skillsA
ble to work independently with minimal supervision and can handle a number of projects simultaneously
Flexibility to work additional hours as necessary
Job Responsibilities:The main responsibility is to collect unpaid claims from private insurances, Medicaid, Medicare, IPAs and patients. This can be obtained thru:
Analyze the responses (EOBs, COBs) from payers
Assess the unpaid claims to make adjustments as necessary as well as make appropriate notes of actions and changes
Review the payer’s contracts to clarify claim payment qualification
Call insurances to check claim status or follow up on unpaid claims
Find out the reason the claims were not reimbursed Research for possible solutions to fix claims in order to be paid
Retrieve all the necessary documents to support the payment requirements
Prepare necessary forms to appeal or dispute the denial of claims
Resubmit corrected claims through the method of electronic or paper submission
Advise clients of appropriate codes to be used to ensure reimbursement
How to Apply
Send your resume at careers@friendlysofttech.com