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Job Description

  • 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.

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:
3 Posts
Job Shift:
Third Shift (Night)
Job Type:
Full Time/Permanent
Job Location:
Gender:
Male
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
3 Years
Apply Before:
Jun 15, 2018
Posting Date:
May 15, 2018
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eServMD

BPO · 1-10 employees - Islamabad, Rawalpindi

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 t ...Read More

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