Excellent Flow is a dynamic organization specializing in healthcare information technology systems. Our mission is to provide comprehensive and user-friendly electronic health record and billing solutions for medical clinics in the United States. Currently, we are expanding our billing and collection team in Mexico.

Job Responsibilities:

• Reviews and interprets explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes
• Posts payments and adjustments from patient statements, remittance advices, insurance carriers, and electronic downloads while utilizing the appropriate fee schedule/policy
• Enters alphabetic, numeric, or symbolic data such as denial codes and rejections from all payers into practice management system
• Demonstrates knowledge of insurance payer guidelines and internal collection guidelines
• Identifies invoices with a secondary payer and takes the appropriate action to ensure they are sent to secondary carriers
• Inputs zero payment vouchers and insurance rejections from all payer sources in a timely manner
• Runs and analyzes balancing report to ensure accurate posting
• Reconciles pt patient payment based on the guidelines
• Identifies incomplete information necessary to post remittance and contact the necessary supervisor to resolve questions, inconsistencies, or missing data
• Meets monthly close deadlines
• Assists with payment and adjustment questions and conducts research if necessary
• Assists with the insurance file updates and access to insurance websites
• Maintains and respects the confidentiality of patient information in accordance with posting guidelines, company policy & procedure, and HIPAA guidelines
• Demonstrates ability to learn computer applications as they relate to job duties and proficiency in the practice management system

Requirements:

• Exposure to US healthcare industry
• Experience in Medical Billing and/or Medical Coding is an advantage
• A minimum of 45 wpm typing
• Excellent communication and analytical skills
• Knowledgeable of Microsoft Word. Excel, Google sheets, Power point, etc...

Job Type: Full-time

Pay: $13,000.00 - $15,000.00 per month

Work Location: Remote