Job Description

Experience in Eligibility Verification Process . Good typing skills . Ability to obtain eligibility information from various insurance portals. Quick learner with good communication skills . Minimum 12+ months of experience required. Work from office is mandatory . 2. Charge Review/Entry Experience in Demo & Charge Entry Process . Exposure to working on Edits . Understanding of CPT codes & claim specialties . Familiarity with HCFA Forms . Ability to clear scrubs/edits . Minimum 18 months of experience required. Ability to fix charges pended for various reasons . Work from office is mandatory . 3. Edits/Clearing House/Claim Submission Experience in Clearing House operations . Exposure to working on Edits . Strong understanding of Clearing Rejections & Payer Rejections . Knowledge of how clearing houses function . Ability to analyze rejections and provide inputs to managers to improve first-pass ratios . Minimum 18 months of experience in Clearing House & Insurance Rejections . Good understanding of Claim Forms & EDI Process . Familiarity with HCFA Forms . Ability to clear scrubs/edits . Ability to fix charges pended for various reasons . Work from office is mandatory . 4. Payment Posting & Credit Balance Strong understanding of ERA Payments & working on ERA Exceptions/Kickbacks . Knowledge of processing correspondence . Experience in manual/ERA payment posting . Ability to handle takebacks/off-sets . Ability to meet client expectations . Minimum 18 months of experience in Payment Posting . Work from office is mandatory .