Medical Billing Associate

<strong>TRIARQ Health</strong>&nbsp;embodies a fully integrated, health network and services organization &ndash; taking care of patients from wellness through to treatment and recovery.

Nashik, India


<a href="" target="_blank" rel="noopener noreferrer">TRIARQ Health</a>&nbsp;is a national physician practice management &amp; value-based solutions company, who is leading the transition in healthcare with our One Team Care approach: one complete solution, one expert partner, and one simple fee.

keywords: review medical procedures,insurance,medical,claims,follow up,knowledge,accounting,analysis,organization,skills,experience,proficiency,certification,audit,communication


Overview: Responsible for reviewing medical procedures as documented by physicians and perform charge posting. Effective handling of denials.
Responsibilities: <ul> <li>Reviewing medical procedures as documented by physicians</li> <li>Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians&rsquo; unique attributes</li> <li>Perform posting charges and completion of claims to payers in a timely fashion</li> <li>Reduce and handle denials by providing additional info and correct use of modifiers, mapping, and linking codes with services and to ensure to ensure maximum reimbursement for services provided</li> <li>Follow up on outstanding patient balances</li> </ul>
Requirements: <ul> <li>Knowledge of medical terminology.</li> <li>Thorough knowledge of billing and coding policies and procedures.</li> <li>Proficiency in filing and collecting insurance claims.</li> <li>Analytical skills to examine billing information for accuracy and completeness.</li> <li>Ability to collect accounts in arrears in a sensitive manner.</li> <li>Previous experience with electronic claim filing and practice management software packages.</li> <li>Skilled in MS Office (Word, Excel) and typing skills.</li> <li>Ability to coordinate sequence of operation of a system and can revise procedures based on the analysis of data.</li> <li>Knowledge of US healthcare administration and specifically healthcare billing and reimbursement procedures and regulations.</li> <li>Knowledge of medical professional fee billing</li> <li>Strong attention to detail; ability to organize work and perform duties with a high level of accuracy</li> <li>Graduate with excellent verbal and written English communication skills; ability to read, and interpret information</li> </ul> <p><strong>Preferred:</strong></p> <ul> <li>Certified professional coder or equivalent training.</li> <li>Current courses or certification in Insurance, Medical Billing and ICD-10 and CPT coding.</li> <li>Basic accounting skills</li> <li>Skill to accurately audit patient ledgers</li> <li>Skill to organize &amp; prioritize workload, keep a personal procedure manual</li> <li>Amend charge edit rule based on denials</li> <li>Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems</li> <li>Analyze EOBs and post payments against charges to the systems</li> <li>Handling patient calls</li> <li>Perform Insurance Providers&rsquo; reviews and audit</li> </ul>