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Revenue Cycle Management Specialist

Orkatok Private Limited Unverified

Lahore , Pakistan

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Posted Oct 06, 2022 155 views

Responsibilities

  • Review billing documents as assigned for submission to insurance plans and government entities (Medicare, Medicaid, Tricare etc). Clearing all edits necessary for clean claim submission.
  • Refer all needed claims to proper management personnel when unable to achieve clean claim status for submission.
  • Review and understand EOB's/RA's (Explanation of Benefits and Remittance Advice documents received from insurance payers and government entities.
  • Process all required payments, adjustments to accounts when claim payment is received if required in client or company systems.
  • Contact insurance plans and governments entities using online systems, email, and phone to resolve unpaid claims.
  • Work exception reports, review EOBs for correct insurance payment.
  • Providing data to management on trends found with payers in claims adjudication process affecting claims payment.
  • Maintain expertise in multiple current client systems.
  • Maintain up to date knowledge of revenue cycle management, industry trends perform other duties as necessary.
  • Notifies the Revenue Cycle Manager of any problems with patients’ claims or insurance companies.

Skills and Qualifications

Soft Skills

  • Effective communication skills
  • Basic computer skills, such as sending emails, typing, and using spreadsheets
  • Interact virtually with clients and patients
  • Creative problem-solving skills
  • Work independently
  • Collaborate well with others
  • Multitask

Qualifications 

  • Billing/coding, 2 years min. (Required)
  • Medicare, Medicaid, and third-party billing, 1 year (Required)
  • Electronic medical record proficiency, 1 year (Required)
  • Medical/billing terminology, ICD-10 and CPT codes, 1 year (Required)
  • Diagnostic and Procedural coding, 1 year (Required)

License

  • Medical Billing & Coding (Preferred)

Additional Qualifications

  • 2+ years health care revenue cycle experience within a physician office, hospital, or insurance plan claims processing unit.
  • Participate in revenue cycle training
  • General knowledge of CPT/HCPCS and ICD.10 coding requirements
  • Strong attention to detail outstanding written and verbal communication skills
  • Computer proficiency including Microsoft Office, Word, Excel and Outlook
  • Ability to function effectively in a fast-paced environment.
  • Personal traits of a high-level commitment, motivation, energy, team orientation, professionalism, trust, personal honesty and integrity, and a demonstration of placing others in a place of high value.
  • Proficiency with standard office equipment and software such as Microsoft Office, knowledge of Healthcare Information Systems.

Skills

Knowledge of CPT knowledge of HCPCS Knowledge of Development  Hospital Billing

Job Details

Industry:
Call Center
Functional Area:
Client Services & Customer Support
Total Positions:
2 Posts
Job Shift:
First Shift (Day)
Job Type:
Full Time/Permanent
Job Location:
Bahria Town Lahore, Lahore, Pakistan
Gender:
No Preference
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
2 Years
Apply Before:
Nov 06, 2022
Posting Date:
Oct 06, 2022

Orkatok Private Limited

Call Center · 11-50 employees - Lahore
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