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Posted Sep 19, 2022 410 views
PKR. 70,000 - 100,000/Month
High School Diploma or equivalent
- Three (3) years overall coding and billing experience with the following:
- Three (3) years of experience in medical insurance billing and coding denial resolution
- Working knowledge in analyzing contract requirements and governmental regulations relating to medical billing
- Experience with analyzing and implementing effective internal controls
- Working knowledge of HIPAA regulations and impact on practice operations
- Must be proficient in Microsoft Office applications
- Understanding of computer networks, operations, and Practice Management applications including Epic Electronic Health Records System (EHR)
- Must have excellent and effective communication skills, both oral and written
- Must be able to work with management and staff at all levels
NOTE: Qualifying education, experience, knowledge, and skills must be documented on your job application
- Bilingual (Spanish/English)
- Experience with Epic and/or EDI Software
- Ability to adapt to change
- Communicates clearly and effectively, both orally and in writing
- Written and verbal English competency
- Able to read and follow directions
- This position requires the ability to regularly bend, carry, climb, climb stairs, grasp, squeeze, hear, use a keyboard and computer monitor, kneel, and perform repetitive tasks
- Employment may be contingent on passing a drug screen and meeting other standards
Responsibilities
- The Medical Billing/Coding Specialist is responsible for billing and analyzing procedures and modifiers to troubleshoot and resolve billing issues, rejections, denials, and appeals
- Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources
- Reviews billing charges and other data for accuracy and potential reimbursement enhancement
- Remain up to date on billing guidelines
- Handles sensitive and confidential information appropriately and in compliance with HIPAA regulation
- Obtains from applicable providers, clinics, and support staff complete diagnosis information to ensure proper assignment of codes
- Responds to questions from staff, insurance carriers, and clients
- Run, review, and summarize reports for billing, reimbursement, and accounts receivable
- Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing/coding revisions in the electronic billing system
- Works as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner
- Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement
- Develop, implement, and manage processes to reconcile billed charges to scheduled visits
- Provide applicable data related to Key Performance Indicators (KPI)
- Must be able to provide quality customer service
- Ability to analyze and interpret detailed reports and summarize findings
- Ability to organize and prioritize workloads to manage multiple tasks and meet deadlines
- Demonstrates respect for the opinions and beliefs of others
- Demonstrates a sense of responsibility for the success of the group
- Collaborates with others to improve quality and address needs
- Organizes and maintains work environment to allow for maximum productivity
Skills
Job Details
Industry:
Functional Area:
Total Positions:
5 Posts
Job Shift:
First Shift (Day)
Gender:
No Preference
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
4 Years
Apply Before:
Oct 20, 2022
Posting Date:
Sep 19, 2022
Forta Tech
BPO · 11-50 employees - Lahore
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