• Check eligibility and benefits 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 MediTouch (HealthFusion)

 

Job Details

Industry:
BPO
Total Positions:
3 Posts
Job Shift:
Second Shift (Afternoon)
Job Type:
Job Location:
Gender:
Male
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Experience:
2 Years - 4 Years
Apply Before:
Dec 09, 2017
Posting Date:
Nov 29, 2017

PreferredMB

BPO · 11-50 employees - Rawalpindi

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