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CPTruBridge is a healthcare solutions provider focused on empowering hospitals and clinics through innovative technology and services to enhance patient care and operational efficiency.
Employee count: 1001-5000
Process Associate Billing and Rejections will be responsible for accurately verifying and submitting the medical claims, identifying, and resolving claim rejections. This position primarily focuses on claim scrubbing, handling claim edits, billing processes and addressing claim rejections.
Review and verify patient demographic and insurance information to ensure accuracy.
● Confirm that all necessary documentation and authorization are in place before submitting claims.
● Review and assess medical claims for accuracy and completeness.
● Identify discrepancies or missing information and rectify them promptly.
● Review and update claim documentation as necessary.
● Submit medical claims to insurance companies following established billing guidelines.
● Utilize billing software and systems to ensure accurate and timely claim submission.
● Monitor and track the status of submitted claims.
● Analyze and address claim rejections promptly.
● Make necessary corrections, resubmit claims, and follow up to resolve outstanding rejections or claim edits.
● Stay up to date with healthcare regulations and insurance policies.
● Ensure billing practices adhere to industry standards and compliance requirements, including HIPAA.
● Ensure insurance coverage and eligibility.
● Review each claim and adjust the incorrect information accordingly.
Full Time
India +/- 0 hoursLearn more about CPSI and their company culture.
At TruBridge, we understand the importance of quality healthcare and the impact it has on communities. We help healthcare providers navigate the challenges of ensuring financial and operational success in a rapidly evolving industry. Our commitment to transforming healthcare has resulted in a suite of innovative products and collaborative services tailored specifically for hospitals and clinics, enabling them to serve their communities effectively.
Since our inception in 1979, we have focused on delivering technology solutions to rural and community healthcare providers. Our offerings encompass comprehensive revenue cycle management, electronic health records (EHR), and patient engagement tools that facilitate seamless care coordination and enhance patient experiences. By addressing the unique needs of our clients, we empower them to eliminate obstacles and clear the way for high-quality patient care.
CP1001-5000 employees
1979
Chris Fowler
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