This employer is no longer accepting CVs for this job, it has been deactivated by the company\'s administrator.
Posted Jun 20, 2024 152 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
What is your Competitive Advantage?
Get quick competitive analysis and professional insights about yourself
Talk to our expert team of counsellors to improve your CV!
Similar Job Titles
I found a job on Rozee!
Usman Habib
Recruitment & Training Executive
ACS Synergy (Pvt) Ltd.
Muzammil Baig
Digital Marketing Manager
IT Services Group
Ayesha Shaukat
Social Media Marketing Manager
Ivoke
Sehrish Azhar
Motivational Speaker & Blogger
Living Upbeat
Ali Aziz
CEO
Shopistan
Mona Sharif
Senior Team Lead
Konext PVT. LTD
Babar Ahmed Khan
Territory Sales Manager
Engro Foods
Aqib Irshad
Head of HR, Training & OD
FINCA
Zohaib Ali
Marketing Manager
Digital Online Devices
Zubair Anjum
Business Excellence Specialist
Nestle Pakistan
