Medical Billing Associate Graduate null

Job Description

Guidehouse is a leading management consulting firm serving the public and commercial markets.  We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse.

Responsibilities

• Desired Candidates should possess Excellent Knowledge in medical Billing with a minimum of 1 - 3 years of Experience and expose to the roles like demographic & charge entry, cash or payment posting, denial capturing, denial management, calling, patient calling.
• Under routine supervision prepares and submits insurance claims; reviews and adjusts accounts to ensure accurate and thorough billing of claims; monitors and ensures timely payment of bills.
• Determines billable claims; corrects and submits insurance claims. Completes insurance data for patient claims; processes, researches, and corrects accounts; verifies diagnosis and authorization codes; identifies liability and guarantors; reviews and adjusts account balances; interpret Explanation of Benefits (EOBs); analyzes billing components.
• Posts payments and adjustments in billing databases; prepares batches for posting. Verifies all identified insurance carriers for eligibility; confirms carrier policy.
• Reviews claims before submission to the insurance carrier; assesses adjudicated claims.
• Creates, organizes, corrects, updates, and maintains accounts on data spreadsheets using medical billing software.
• Ensures correct and prompt claims payments through confirmation from providers. Tracks and monitors claim to process; resolves outstanding claims.
• Assists with training and quality verification of lower-level billing specialists.
• Assists patients, carriers, and other concerned parties. Assists in distributing the workload among coworkers; assists coworkers; monitors and reviews coworkers'' progress; assists in the training of new employees.

Qualifications

• Graduate or above
• 0 - 5  Years’ experience
• Medical Billing knowledge
• Knowledge of Healthcare processes