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 years or more 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

Job Details

Total Positions:
1 Post
Job Shift:
First Shift (Day)
Job Type:
Job Location:
Sabzazar, Lahore, Pakistan
Gender:
Male
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
3 Years
Apply Before:
Apr 19, 2019
Posting Date:
Mar 18, 2019

Prudent Corporate Business

Accounting / Taxation · 1-10 employees - Lahore

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