US Healthcare Medical Biller

Job Description

Job Description: Perform pre-call analysis and check claim status via payer calls, IVR, or web portal services. Maintain adequate documentation in client software to ensure a clear audit trail for future reference. Record after-call actions and perform post-call analysis for claim follow-up. Analyze accounts receivable data, identify reasons for underpayments/denials, and document appropriately. Take necessary actions on claims to ensure timely resolution. Ensure accurate and timely follow-ups when required. Work closely with the Billing Account Liaison to review and resolve claim denials. Maintain a detailed spreadsheet of claims sent for review/appeal with follow-up dates and tracking details. Job Requirements: 2-5 years of experience in accounts receivable follow-up/denial management for US healthcare clients. Strong verbal communication skills and call center expertise. Knowledge of denials management and A/R fundamentals is preferred. Willingness to work night shifts. Basic computer skills and good organizational abilities. Ability to multitask efficiently. Prior experience in a medical billing company and familiarity with medical billing software is an advantage. (Training will be provided on the clients medical billing software.) Knowledge of healthcare terminology and ICD/CPT codes is a plus.