Posted Apr 18, 2022 63 views
We are looking for an Accounts Receivable Executive from the medical billing field for one of it's clients based in USA.
- Working on CPT/ICD coding Review patient bills for accuracy and completeness and obtain any missing information
- Knowledge of insurance guidelines especially Medicare and state Medicaid
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment is for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- Answer patient or insurance telephone inquiries pertaining to assigned accounts.
- To Communicate Effectively with Team and Clients.
- To perform the Account Receivables,
- Denial Management, Appeal Management.
- To maintain the protocols and documentation of each performed task.
- Any other task as assigned by the management.
- Obtaining referrals and pre-authorizations as required for procedures.
- Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle timeframe.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for insurance of patient follow-up.
- Researching and appealing denied claims.
- Answering all patient or insura 0nce telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating cash spreadsheets, and running collection reports.
- In addition to these general duties, an individual employer may request that you perform other duties that fit with your training and background experience or provide further training for new duties.
Skills
Job Details
Prima Systems
Prima Systems enables its clients over the whole Enterprise Technology to stack with separated industry arrangements. We modernize Business Process Outsourcing and make everything secure, adaptable and coordinated across open, private and half mists. Partnership is at our core. Our client relationships are about more than just the work we do, they are a huge part of who we are. At BPO Bench, we consider the success of our clients as a barometer of how successful we are. The Enterprise Technology Stack incorporates IT Outsourcing, Cloud and Security, Applications, Analytics and Engineering. We join long periods of experience running crucial frameworks with the most recent advanced developments to convey better business results and new degrees of execution, intensity and encounters for our clients and their partners. Prima Systems puts resources into three key drivers of development: People, Customers and Operational Execution. Our broad network helps drive coordinated effort and influence innovation freedom.
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