Medical Billing Specialist

3 weeks ago


Karachi, Sindh, Pakistan Circadia Technologies Ltd Full time

About Circadia:

Circadia is a dynamic and rapidly growing health tech startup on a mission to revolutionize healthcare through innovative mobile technology solutions. Our mobile apps empower healthcare professionals and patients alike to make informed decisions, streamline processes, and improve patient outcomes. We are a passionate team of individuals dedicated to making a positive impact in the healthcare industry.

JOB RESPONSIBILITIES:

  1. Ensuring the accurate and timely billing and payment for RPM services rendered to patients.
  2. Ensuring accurate patient demographics are captured such as insurance information.
  3. Preparing and submitting claims to insurance companies.
  4. Following up on outstanding and denied claims.
  5. Processing payment postings.
  6. Investigating and resolving billing disputes and denials.
  7. Following up with insurance companies on unpaid claims and rejections.
  8. Researching and analyzing medical billing data to identify billing trends and payment patterns.
  9. Developing and maintaining relationships with healthcare providers and insurance companies to facilitate payment processing and resolution of billing issues.
  10. Providing regular reports on billing and collections activities to management.
  11. Collaborating with cross-functional teams to improve billing processes and workflow.

JOB REQUIREMENTS:

  • Minimum of 3 years of experience in medical billing and collections, preferably in a fast-paced environment.
  • Strong knowledge of medical billing and coding practices, as well as healthcare regulations and insurance policies.
  • Experience in RPM billing preferred.
  • Bachelor's Degree – Computer science, Healthcare Administration, or Commerce related degree preferred.
  • Proficiency in English Language, GSuite, and Slack.
  • Outstanding problem-solving and organizational abilities.
  • Solid understanding of billing software and electronic medical records.
  • Exceptional communication and time management skills.
  • Attention to detail is a must.
  • Demonstrated ability to work independently.
  • Knowledge of HIPAA requirements related to medical records and billing requirements.
  • Ability to manage multiple projects concurrently.
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