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Private Jobs / Private Sector
Vericle Hiring for Medical Billing Service RCM Senior Analyst – Work From Home at Tiruchchirāppalli Full Time
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Vericle is a Health IT and Revenue Cycle Management (RCM) service company. We are looking for a full-time RCM Senior Analyst who compiles billing process data, analyses it, and creates solutions for process workflow and billing errors. Works on backlogs, AR>120+ and denial management.
RESPONSIBILITIES
- Follow up on unpaid claims with the payers, including calling the insurance companies when necessary
- Collect process error data, analyze it, categorize it, and report
- Build an effective billing process improvement and error resolution process
- Identify and document categories of errors for immediate correction and for future learning material
- Monitor and guide the medical insurance payment denial and appeal processes
- Monitor and ensure control of timely filing and Accounts Receivable over 120
- Give special attention to WC, PIP, MVA and NF/TP claims process
QUALIFICATIONS
- Minimum 5 years experience in AR follow-up and payment posting
- College degree in Computer Engineering, Mathematics, or similar
- Hands on experience with data analysis and data classification
- Good analytical skills
- Knowledge of ICD-10, CPT, and HCPCS
- Experience with chiropractic, physical therapy, and mental/behavioral health specialties
- Experience with Vericle software is a plus
MUST HAVE:
- High comfort level working on the Eastern Time Zone/US Shift
- Good internet access at home
- Mobile Hotspot
- Laptop/Desktop of at least 8 GB