ONQ India

Hyderabad, Telangana

US Healthcare AR CallerJob Description Review eligibility and benefits verification for treatments, hospitalizations, and procedures. Review claims for accuracy and insurance compliance to obtain any missing information. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Follow up on unpaid claims within standard billing cycle timeframes. Check insurance payments for accuracy and compliance with contract discount. Call insurance companies regarding any discrepancy in payments if necessary. Identify and bill secondary or tertiary insurances. Review accounts for insurance follow-up. Research and appeal denied claims. Update cash spreadsheets and run collection reports.Required Skills Minimum 3 years of experience in Medical Billing and Revenue Cycle Management. Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Knowledge of medical terminology likely to be encountered in medical claims. Familiarity with CPT and ICD-10 Coding. Knowledge and understanding of the patients health information confidentiality guidelines and procedures in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Effective communication skills for phone contacts with insurance payers to resolve issues. Experience working with billing software and/or practice management software. Competent use of computer systems, software, and 10 key calculators. Be able to identify priorities, delegate tasks if needed, and handle conflict in a reasonable fashion. Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with insurances and payers during this process. Ability to multitask.

Medical Billing Payment PosterJob Description Accept payments and process billing statements Post payments (electronic and manual payments) to the billing software program or practice management software. Prepare payment batches. Maintain accurate medical billing records, and document revenue from patient payments and insurance reimbursements. Keep track of payment deposits from patients and insurance reconciling details. Assess and evaluate explanation of benefits (EOBs) from insurance companies. Keep accurate billing records and report discrepancies.Required Skills Minimum of 3 years of medical billing experience. Knowledge of EOBs. Data entry and typing skills. Good written communication skills. Ability to process a high volume of work while keeping attention to detail and accuracy. Good computer skills to work with billing software, practice management system, and Microsoft Office.