AR Followup process:
- Minimum 1 year of experience in AR followup team/ Denial management/AR calling
- Should have knowledge of denial action taking part. They should know at least 5 denial codes with action.
- If they have experience in denial management team we can consider proceeding with them to assign AR f/u team.
- Good knowledge in claim form (HCFA) field used for billing.
- General medical billing.
- Modifier usage & CPT codes
- Claim Appeals submission & Payer Website access knowledge to check claim status.
Not suitable for the below categories
- If the candidate having knowledge about only one of the following Process not suitable Medical record upload process Eligibility checking process Rejection process Claim status checking process Credit balance team Denial capture & Worked in patient Aging report.
- If candidate have gap more than 3 months
- If they have knowledge in the following Speciality only Anesthesia Dental DME Hospital Billing Ambulance billing & SNF (Skilled nursing facility) not suitable for our billing process.
- Having experience in Adjudication process (Its not a physician billing)
Charge entry process:
- Minimum one year of experience in Charge entry process.
- The candidate must know about E&M CPT codes (starts with.
- Must know the modifiers usage. At least 25 XU 59 RT & LT
- They should know about the place of service & Medical record review purpose.
- Should have sound knowledge of general medical billing.
- To know check insurance Eligibility
- Need minimal iCD10 knowledge.
The candidates are not eligible for the categories below.
- If candidate have gap more than 3 months
- If they have knowledge in the following speciality only Anesthesia DME Hospital Billing Ambulance billing & SNF (Skilled nursing facility) not suitable for our billing process.
- Having experience in Adjudication process (Its not a physician billing)
Payment posting process:
- They should know at least 5 denial or remark codes.
- The candidate should work on the manual posting not only for ERA posting.
- Patient payment posting process not considered they should be worked insurance payment posting process.
- The person should have a good knowledge to work on offset/recoupment/Overpayment recovery/Forwarding balance/Interest payment.
- Junior payment poster should have knowledge about Deductible copay & Coinsurance.
The candidates are not eligible for the categories below.
- Less than one year experience candidate
- Credit balance team.
- Worked in Payment reconciliation process.
Required Experience:
IC