Associate -Medical Billing
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Roles & Responsibilities: Eligibility Verification: Verify patient eligibility and benefits through payer portals and insurance calls Work on eligibility-related denials and exceptions Handle eligibility faxes and paper claims Review and resolve eligibility bucket scenarios Identify and resolve insurance-related issues impacting claims Ensure accurate insurance information to avoid future denials Maintain and update process documents/SOPs when required Payment Posting: Perform ERA and EOB payment posting activities Work on electronic and paper remittances Handle payment posting from AR escalations Perform manual posting of EOBs received through email/fax Reconcile payer portals to ensure all payments are posted accurately Identify and report payment discrepancies and enrollment-related issues Good understanding of US Healthcare End-to-End RCM process Experience in Physician RCM preferred Strong communication skills (written and verbal) Good email and telephone etiquette Proficiency in MS Office (Word, Excel, PowerPoint, Outlook) Ability to work with insurance portals and payer websites Knowledge of reporting and process metrics based on experience level Transportation Faciity for Females/ Travel allowance for Males Health Insurance and Other Benefits
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Company Intel
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