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 billing and collection team in Mexico.
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, Google sheets, Power point, etc...
Job Type: Full-time
Pay: $13,000.00 - $15,000.00 per month
Work Location: Remote
