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Posted Jun 20, 2024 185 views
PKR. 30,000 - 50,000/Month
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.
Job Details
Industry:
Functional Area:
Total Positions:
1 Post
Job Shift:
Third Shift (Night)
Gender:
Male
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
2 Years
Apply Before:
Jul 20, 2024
Posting Date:
Jun 20, 2024
Utter Solutions
Healthcare / Hospital / Medical · 1-10 employees - Lahore
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