Credentialing Executive

PMTAC Pvt Ltd Verified

Multiple Cities, Pakistan

Posted Sep 11, 2019 85 views

PKR. 40,000 - 50,000/Month

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Job Description

A rapidly growing multinational Healthcare IT Company located in Rawalpindi is expanding its business and seeking experienced applicants with strong Billing background as per below mentioned requirements.

Job Description

  • Good understanding of insurance procedures and guidelines
  • Reviewing claim accuracy prior to claim Scrubbing and Submission
  • Analysis and resolution of denied claims/cases. Identify and resolve billing issues
  • Benefits / Eligibility, Medical Coding & Basic Demographic Verification
  • Quality & AR Analyst, Denial management, AR Specialist and AR Follow Up
  • Payment Postings, reimbursement & collection analysis and reporting
  • To ensure quality, timeless and accuracy in entire billing process
  • Develop and manage to KPIs and dashboards for increasing client satisfaction, outcomes and retention.
  • Standardization of processes and workflows for efficient and optimized delivery of service that meets the customer expectations in cost effective manner.
  • Develop short and long term business and delivery models that give insights and predictability into key cost contributors.

Requirements

  • 3-5 years prior Experience in US Medical Billing
  • Minimum Bachelor’s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related
  • Excellent in English communication skills both verbal & written, spoken English in American pronunciation is desired
  • Good Command over Excel, word and health industry related software tools
  • Excellent Organizational, Analytical skills and able toadapt to changing situations
  • Proven Knowledge of basic medical terminologies such as coding-ICD10, CPT & HCPC
  • Experienced in Managing the Overall Revenue Cycle
  • Knowledge about Data Conversion and EMR implementation
  • Knowledge about enrollment & credentialing and EDI & ERA/EFT setup

 PMTAC Offers Other Benifits such as Health Insurance, Provident Fund and Monthly Incentives and a proper growth plan for MEdical Billing Professionals!

Job Details

Functional Area:
Total Positions:
4 Posts
Job Shift:
Second Shift (Afternoon)
Job Type:
Job Location:
Gender:
No Preference
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Experience:
1 Year - 3 Years (Do you have 3-5 years of Medical Billing Experience?)
Apply Before:
Oct 10, 2019
Posting Date:
Sep 11, 2019
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PMTAC Pvt Ltd

Information Technology · 101-200 employees - Islamabad, Rawalpindi

PMTAC is a growing multinational software and healthcare IT company. The company has established its setup in a short span of a few years, which lays the foundations for productivity. PMTAC is following a formula of long-term growth by utilizing labor force increase, investment activity, scientific ...Read More

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