Responsibilities:

Insurance Claims Processing:

  • Review and prepare accurate insurance claims for submission to various payers.
  • Verify patient insurance coverage, benefits, and eligibility.
  • Ensure proper coding (CPT, ICD-10, HCPCS) and documentation for claims accuracy.
  • Submit claims electronically or by paper according to payer requirements.

Payment Posting and Reconciliation:

  • Post payments received from insurance companies and patients into the billing system.
  • Reconcile payments against billed amounts to identify discrepancies.
  • Investigate and resolve any discrepancies in payments, adjustments, or denials.

Accounts Receivable Management:

  • Monitor and follow up on unpaid or denied claims to ensure timely resolution.
  • Contact insurance companies to inquire about claim status and facilitate payment.
  • Review aging reports regularly to prioritize and address delinquent accounts.
  • Initiate appeals for denied or underpaid claims and track the appeal process.
  • Patient Billing and Communication:
  • Generate patient statements and invoices for outstanding balances.
  • Work with patients to establish payment plans or arrangements.
  • Provide clear and compassionate communication regarding billing inquiries or issues.

Documentation and Reporting:

  • Maintain accurate and organized records of all billing and collection activities.
  • Generate reports on accounts receivable status, aging trends, and collection efforts.
  • Prepare regular updates and summaries for management review.

Compliance and Regulations:

  • Ensure compliance with HIPAA regulations and other billing guidelines.
  • Stay informed about changes in billing regulations and payer policies.
  • Implement best practices to maximize reimbursement and minimize compliance risks.

Requirements:

  • Proven experience as an Accounts Receivable Specialist in medical billing or a related field.
  • In-depth knowledge of medical terminology, billing codes (CPT, ICD-10, HCPCS), and insurance claims processes.
  • Proficiency in using medical billing software and electronic health record (EHR) systems.
  • Strong understanding of insurance policies, reimbursement methodologies, and billing guidelines.
  • Excellent analytical skills to identify and resolve billing discrepancies efficiently.
  • Effective communication skills to interact professionally with insurance companies, patients, and internal teams.
  • Detail-oriented with a high level of accuracy in data entry and financial calculations.

نوکری کی تفصیلات

کل عہدے:
1 اشاعت
نوکری کی شفٹ:
تیسرا پہر (رات)
نوکری کی قسم:
نوکری کا مقام:
جنس:
مرد
کم از کم تعلیم:
بیچلرز
کیریئر کی سطح:
تجربہ کار پیشہ ور
کم از کم تجربہ:
2 سال
اس سے پہلے درخواست دیجیۓ:
جولائی ۲۰, ۲۰۲۴
تاریخِ اِشاعت:
جون ۲۰, ۲۰۲۴

Utter Solutions

صحت کی نگہداشت / ہسپتال / طبی · 1-10 ملازمین - لاہور

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