Posted:1 day ago|
Platform:
Work from Office
Full Time
Job Role
1. Reviewing and analyzing claim form 1500 to ensure accurate billing information.
2. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes.
3. Familiarity with payer websites to verify claim status, eligibility, and coverage details.
4. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery.
5. Proficiency in using CPT range and modifiers for precise coding and billing.
6. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions.
7. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facilitate claims processing.
Desired Candidate Profile: -
1 Should be a complete Graduate.
2. Minimum of 2 years of experience in physician revenue cycle management and AR calling.
3. Basic knowledge of claim form 1500 and other healthcare billing forms.
3. Proficiency in medical coding tools such as CCI and McKesson.
5. Familiarity with payer websites and their processes.
6. Expertise in specialties including cardiology, radiology, gastroenterology, pediatrics, orthopedics, emergency medicine, and surgery.
9. Understanding of Clearing House systems like Waystar and e-commerce platforms.
10. Excellent communication skills.
Alois Solutions
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