AR Followup process:

• Minimum 1 year of experience in AR follow-up 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 (It’s 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 99202 – 99215).
• 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 iCD-10 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 (It’s 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 & Co-insurance.

The candidates are not eligible for the categories below.

• Less than one year experience candidate
• Credit balance team.
• Worked in Payment reconciliation process.