Non Voice Process Professional

• Experience in Eligibility Verification Process .

• Good typing skills .

• Ability to obtain eligibility information from various insurance portals.

• Quick learner with good communication skills .

• Minimum 12+ months of experience required.

• Work from office is mandatory .

2. Charge Review/Entry

• Experience in Demo & Charge Entry Process .

• Exposure to working on Edits .

• Understanding of CPT codes & claim specialties .

• Familiarity with HCFA Forms .

• Ability to clear scrubs/edits .

• Minimum 18 months of experience required.

• Ability to fix charges pended for various reasons .

• Work from office is mandatory .

3. Edits/Clearing House/Claim Submission

• Experience in Clearing House operations .

• Exposure to working on Edits .

• Strong understanding of Clearing Rejections & Payer Rejections .

• Knowledge of how clearing houses function .

• Ability to analyze rejections and provide inputs to managers to improve first-pass ratios .

• Minimum 18 months of experience in Clearing House & Insurance Rejections .

• Good understanding of Claim Forms & EDI Process .

• Familiarity with HCFA Forms .

• Ability to clear scrubs/edits .

• Ability to fix charges pended for various reasons .

• Work from office is mandatory .

4. Payment Posting & Credit Balance

• Strong understanding of ERA Payments & working on ERA Exceptions/Kickbacks .

• Knowledge of processing correspondence .

• Experience in manual/ERA payment posting .

• Ability to handle takebacks/off-sets .

• Ability to meet client expectations .

• Minimum 18 months of experience in Payment Posting .

• Work from office is mandatory .