Eob Specialist (México)

Eob Specialist (México)

17 ago
|
Excellent Flow Management Solutions
|
México

17 ago

Excellent Flow Management Solutions

México

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 programming software development division 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
**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, Power point, etc...
Pay: $11,200.00 - $15,000.00 per month
Work Location: Remote

📌 Eob Specialist (México)
🏢 Excellent Flow Management Solutions
📍 México

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