Job Descriptions:

·         Check eligibility and benefit verification.

·         Review patient bills for accuracy and completeness and obtain any missing information

·         Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

·         Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid

·         Follow up on unpaid claims within standard billing cycle timeframe

·         Check each insurance payment 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

·         Research and appeal denied claims.

·         Answer all patient or insurance telephone inquiries pertaining to assigned accounts.

·         Set up patient payment plans and work collection accounts

·         Update billing software with rate changes.

·         Updates cash spreadsheet, runs collection reports.

Education and Experience Required

·         Minimum Graduation in any discipline.

·         Knowledge of business and accounting processes usually obtained from an Associates in Business Administration, Accounting or Health Care Administration preferred.

·         Minimum of one to three years’ experience in a medical billing.

Knowledge, Skills, and Abilities

·         Knowledge of HIPA/OSHA, Medicare, Medicaid, and other payer requirements and systems.

·         Use of computer systems

·         Effective communication abilities for phone contacts with insurance payers to resolve issues.

·         Able to work in a team environment.

·         Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

·         Knowledge of medical terminology likely to be encountered in medical claims.

·         Preferably have knowledge of working on different billing software's especially "Kareo" and "CureMD EMR. 

Job Details

Industry:
BPO
Total Positions:
2 Posts
Job Shift:
Third Shift (Night)
Job Type:
Job Location:
Gender:
Male
Minimum Education:
Masters
Career Level:
Experienced Professional
Experience:
1 Year - 3 Years
Apply Before:
Aug 02, 2017
Posting Date:
Jul 01, 2017

eServMD

BPO · 1-10 employees - Islamabad

eServMD Healthcare Revenue Cycle Management company in US fundamental objectives of business operations are simply to meet the health care needs of the people in a manner that eServMD should be well known for efficacy & safety of pharmaceutical products. Our future plans are elaborately directed to provide high quality products for all the fields of medical profession. At eServMD, we have very capable professional & dedicated management team.

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