Baruch Business Solutions – Placement

AR Trainee

Responsibilities and Duties

  • Understand the client requirements and specifications of the project
  • Ensure targeted collections are met on a daily/monthly basis
  • Process claims and ensure collections are met
  • Analyze the rejected/denied claims and understand the reasons of rejections/denial and reprocess the same for payment
  • Meet the productivity targets of clients within the stipulated time
  • Ensure that the deliverables to the client adhere to the quality standards
  • Ensure follow-up on pending claims
  • Prepare and maintain status reports practice management reports from the billing software.

Skill Sets

  • Fresh graduates/Diploma holders/Pursuing graduation in correspondence
  • Good analytical skills
  • Excellent communication skills
  • Experience in domestic/international call centers or medical/hospital billing knowledge will be an added advantage
  • Willingness to work during US shift
  • Basic keyboard skills
  • Solid knowledge in Medical Billing/US Healthcare Domain

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AR Executive

Responsibilities and Duties

  • Physician Billing, Hospital Billing, RCM – End to End Denial Management with sound knowledge of the Medical Billing Process.
  • Analyze medical claims and resolve issues, Capable of capturing denials, Appeal to Insurances for pending claims and Handle all type of rejections.
  • Calling US insurance companies to follow-up on Medical claims.
  • To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
  • Should be able to convince the claims company (payers) for payment of their outstanding claims
  • Should have basic knowledge of the entire Revenue Cycle Management (RCM)
  • To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear.
  • Capable of Reviewing EOB, capturing denials and Fix them for payments.
  • Work on denied claims and take appropriate action

Required Experience and Qualifications

  • Excellent written and oral communication skill.
  • Minimum 2 years of experience in AR calling is Mandatory.
  • Understands US Healthcare Revenue Cycle Management (RCM) process.
  • Basic knowledge on Denials and immediate action to resolve them
  • Follow up on the claims for collection of payment
  • Responsible for calling insurance companies in USA on behalf of doctors/physicians
  • And follow up on outstanding accounts receivables
  • Should be flexible to work in night shifts
  • Immediate joiners most preferable.

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Medical Coder

Responsibilities and Duties

  • To conduct, audit and code reviews to ensure all documentation is accurate and precise.
  • Responsible for appropriate coding of procedures using CPT and ICD-10 codes.
  • To update management and staff regarding coding/reimbursement issues as needed.
  • To maintain Knowledge of current updates in coding and billing principles, including federal regulations and guidelines for documentation, and ICD-10 guidelines.
  • To maintain and update patient database related to billing and coding process.
  • To maintain patient data confidentiality and responsible for adherence to CMS policies and Compliance.
  • To exhibit professionalism by working with others tactfully and following the organization policies.
  • To ensure the quality and integrity of the coding process, adhering to coding guidelines and requirements.
  • Ability to meet time-sensitive demands and deadlines.
  • To participate in periodic audits, collections and report findings to top level management.
  • To maintain a good client equation during the course of duty.
  • To train team members about contemporary ICD and CPT coding conventions and Identity areas for new training or skill checks.
  • To perform other miscellaneous job-related duties as assigned.

Required Experience, Skills and Qualifications

  • Certification Required ( With Either one of this Certification CPC, COC, CIC )
  • Expertise and Familiarized in ICD 10 Coding Updates and procedure code Updates.
  • Expertise in multi specialty hospital round E/M, Pediatric, surgery coding, ED, Gastro, etc.,

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