ModuleMD is a leading SaaS for medical practices in the US. Our solutions include an all-in-one Practice management, Electronic Health Records, and Revenue Cycle Management software together with a Managed Billing Service. We are looking for an experienced Billing Specialist / Senior Billing Specialist to join our team in India.
Company : ModuleMD Healthcare Solutions Pvt Ltd (website:https://www.modulemd.com)
Job Title : Billing Specialist / Senior Billing Specialist
Location : Hyderabad (Currently work from home)
Experience : 5 years to 10 years
Shift : US hours – Night shift (5:30 Pm TO 2:30 Am IST)
Joining : As early as possible
Role : Permanent position
Education : Bachelors’ Degree in related field or equivalent experience.
Experience:
Candidates must have 5+ Years of experience in accounts receivable follow-up / denial management especially a work experience on [claims Denials / Rejections] for US healthcare customers – MUST.
Working experience on websites like CHAMPS, Medicaid, Medicare etc.
Work Experience on Aging Analysis Report, Code Sets, Medicaid eligibility etc.
Should and must have work experience to know the purpose of the ABN, COB, and How to complete a Medicare reconsideration/appeal, the birthday rule, using CHAMPS website etc.
Experience in denials management and A/R fundamentals, Rejections and Appeals -MUST
Understanding of ICD-10 and CPT codes -MUST
Familiarity with multiple insurance web sites for eligibility, claims status, payments, disputes -MUST.
A very good practical working knowledge to know what information is to be included when an appeal is made for a claim.
HIPAA rules and regulations – privacy laws, access, and release of information
Ability to read and understand EOBs/Payment Vouchers -MUST
Experience in Allergy and Oncology preferred!
Excellent oral and writing communication abilities as well as call center expertise.
Ability to work independently, as well as a collaborative team player, in a remote setting.
Attention to detail.
Agile mindset: versatility, flexibility, and a willingness to enthusiastically work within constantly shifting priorities.
Responsibilities:
Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.
Directly communicate with practices
Post payments as required.
Denials management A/R follow-ups: Perform analysis of accounts receivable data and understand the reasons for underpayment days in A/R top denial reasons use appropriate codes to be used in documentation of the reasons for denials / underpayments. MUST
Record after-call actions and perform post call analysis for the claim follow-up. MUST
Comply with terms of employment contract and company policies and procedures.
ModuleMD is an equal opportunity employer. We are dedicated to creating an inclusive, close-knit work environment where everyone is encouraged to be a part of the collaborative process and use individual strengths to shape their role at the company.
Interested candidates apply for this job or you can send your CV to:
Email ID: [email protected]
...accelerates the sales process. Your Impact We are seeking a Solutions Engineer - Artificial Intelligence (AI) to join our dynamic... ...future for all. Our passion is connectionwe celebrate our employees diverse set of backgrounds and focus on unlocking potential....
Daigle Cleaning Systems, Inc. is seeking a dedicated and skilled Window Cleaning Technician to join our team. As a Window Cleaning Technician, you will be responsible for maintaining the cleanliness and appearance of windows in various commercial and residential...
...TESTING FOR POLICE OFFICER Starting Salary: $58,155 The Fredericksburg Police Department will administer the written and physical... ...than two moving violations within previous 24 months No record of convictions within previous 60 months for DUI, eluding, leaving...
...Job Objectives Manages the operation of a Walgreen store. Improves store sales, profitability and image through proper merchandising, protection of store assets, the selection, training and development of team members, and modeling and delivering a distinctive and...
...opportunity so you can grow your career and expand your skills in the long term. Forming part of the Biotechnology segment at Danaher, we bring together dedicated technical expertise and talent to develop the next generation of life-changing therapeutics. The Footprint...