_ Only Resumes in English will be considered_
Excellent Flow is a dynamic organization specializing in healthcare information technology systems. Our mission is to provide comprehensive and user-friendly electronic health record and billing solutions for medical clinics in the United States. Currently, we are expanding our programming software development division in Mexico.
We are looking for staff who are self-motivated, punctual, has the ability to adapt to a rapidly changing environment. Also have strong attention to details, communication skills, follow through, prioritization, planning, and estimating. If you meet the qualifications we are looking for, we invite you to apply and explore a great career opportunity in our company.
Job Responsibilities:
- Reviews and interprets explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes
- Posts payments and adjustments from patient statements, remittance advices, insurance carriers, and electronic downloads while utilizing the appropriate fee schedule/policy
- Enters alphabetic, numeric, or symbolic data such as denial codes and rejections from all payers into practice management system
- Demonstrates knowledge of insurance payer guidelines and internal collection guidelines
- Identifies invoices with a secondary payer and takes the appropriate action to ensure they are sent to secondary carriers
- Inputs zero payment vouchers and insurance rejections from all payer sources in a timely manner
- Runs and analyzes balancing report to ensure accurate posting
- Reconciles pt patient payment based on the guidelines
- Identifies incomplete information necessary to post remittance and contact the necessary supervisor to resolve questions, inconsistencies, or missing data
- Meets monthly close deadlines
- Assists with payment and adjustment questions and conducts research if necessary
- Assists with the insurance file updates and access to insurance websites
- Maintains and respects the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA guidelines
- Demonstrates ability to learn computer applications as they relate to job duties and proficiency in the practice management system
Requirements:
- Exposure to US healthcare industry
- Experience in Medical Billing and/or Medical Coding is an advantage
- A minimum of 45 wpm typing
- Excellent communication and analytical skills
- Knowledgeable of Microsoft Word. Excel, Power point, etc...
Job Type: Full-time
Pay: $12,000.00 - $15,000.00 per hour
Work Location: Remote
