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خلاصہ
Personable and astute student with proven time management and collaboration skills developed from sporting and volunteer engagements. Strong interpersonal skills enhanced by taking part in many activities to develop confidence and communication abilities. Understanding of general employ-ability skills and the importance of working as part of a team, learning from others and developing as a professional.
Currently part of the reputed US based Billing company in Pakistan as "Account Manager OPS" from more then one and half year.
تجربہ
Medical Billing Executive
Worked in PMTAC as a
medical billing executive with
specialty in A/R and follow up
of famous Practice in NY, US.
Account Manager OPS
Working as Account Manager, in MTBC the core responsibilities are but not limited to ,
1. Obtaining referrals and pre-authorizations as required for procedures.
2.Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
3.Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
4.Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
5.Following up on unpaid claims within standard billing cycle time-frame.
6.Checking each insurance payment for accuracy and compliance with contract discount.
7.Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
8.Reviewing accounts for insurance of patient follow-up.
9.Researching and appealing denied claims.
10.Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Setting up patient payment plans and work collection accounts.
11.Updating billing software with rate changes.
12.Updating cash spreadsheets, and running collection reports.
13.Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
14.Competent use of computer systems, software.
15.Familiarity with CPT and ICD-10 Coding.
16.Effective communication abilities for phone contacts with insurance payers to resolve issues.
17.Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
18.Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
19.Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process
