Cube Healthcare Systems is a subsidiary of the US Based Healthcare IT Company; ALTUMED, providing healthcare solutions to the clients based in the US. Presently, CHS is the biggest company at KPITB, with fast growing healthcare IT services and product base.
As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA. Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement.
In Pakistan, with our main Office in Abbottabad, AltuMed has offices in Lahore and Islamabad as well where the business teams are working to improve the user experience and process for the clients.
We, at AltuMed, are currently looking for a Credentialing Analyst in our Medical Billing Department at our Abbottabad Office.
REQUIREMENT
3+ years of experience with:
- Setting up and maintaining provider information in online credentialing databases and system
- Upon receipt of notification from On Boarding / Account Team from US, initiate the provider enrollment process. Enter all provider information obtained via the client intake form in database and generate all necessary payer application forms.
- Conducting reimbursement enrollment to ensure that all providers are able to bill for services on a timely basis.
- Ensuring practice addresses are current with health plans, agencies and other entities
- Completing provider credentialing and recredentialing applications; monitoring applications and follows-up as needed.
Maintaining copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
- Maintaining direct communication with Practice manager/client to ensure the appropriate and timely enrollment of their providers. Escalating issues that require additional attention before they become a major problem.
- Communicating with insurance carriers regarding receipt of applications, statuses of applications, fee negotiations, authorized services, effective date and required attachments/documents receipts and the offer letter/approved letter copy with provider manual/policy.
- Serving as liaison with the Marketing/on boarding Department, ensuring complete and accurate provider information in the provider database for use in provider directories, yellow pages, and internet. Perform uploads of provider database information to the searchable provider database portions of intranet/Internet sites including all insurances providers search portals.
REPORTING STRUCTURE
- Send reports to billing operations manager on all matters relating to credentialing follow up and enrollment requirements daily, weekly, monthly.
- Send reports to Ops Manager Billing and Client Practice Manager on all other practice credentialing issues, with insurance and billing.
- Send monthly status reports to Billing CRM for our billing clients.
- Send credentialing detail report including completed accounts, payer client vise status, all open issues/payer and client in process reports, to management monthly.
- Quarterly and monthly review of your team performance and evolution reports to HR and management
- User Audits and quality reports to PM Billing.
COMPENSATION
Market competitive salary, accommodation allowance, health insurance, paid holidays etc.
Skills
Job Details
Cube Healthcare Systems is a subsidiary of the US Based Healthcare IT Company; ALTUMED, providing healthcare solutions to the clients based in the US. Presently, CHS is the biggest company at KPITB, with fast growing healthcare IT services and product base. Altumed team of talented and well-coordinated individuals knows that the client’s ease and betterment is their ultimate goal. They put in extraordinary skills and effort to save physicians and their practices valuable time so that physicians can instead spend on providing better care to their patients. Serving as a bridge between care provider and payer, CHS is always accurate and very reliant. We take pride in processing millions of health insurance claims for doctors' offices, hospitals, and other healthcare facilities yearly. We have recently stepped into the IT World with our product: ALTUMED, a Revenue Cycle Management Software which takes Medical Billing to another degree of automation and advancement. With an RCM application, we have streamlined the business side of our client’s medical practice, getting more money per patient, more quickly, with much less wasted effort than is required during conventional payment collection practices. The extremely talented IT team works hard every day to improve the user experience and process for the clients. AltuMed is ICD-10 compliant medical solution used across various medical specialties like Cardiology, Nephrology, Dermatology, Hospice, and Durable Medical Equipment. As a company, CHS believes in diversity and inclusion. Which is why we have teams of capable people working with us from different cities of the country working together towards success. Apart from that, CHS has its paid internship program running throughout the year to set a strong foundation, full of learning opportunities for the fresh graduates to kick-start their careers. We strongly believe in empowering our younger generation for a progressive Pakistan.
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