Medical Billing Executives

3 weeks ago

Rawalpindi Cantonment, Pakistan Tecnex Ssystems LLC Full time

TECNEX Systems, LLC has embarked on the journey to bring a change in the Healthcare IT industry by providing one of the nation's most innovative Physician Clinic Business Management System with ONC-ATCB Certified EHR/PM on a single technological platform. It was only possible by the dedicated professionals who are aimed to improving healthcare by providing the best combination of technology and imagination. Our aim is to provide a solution that would reduce costs, errors and improve the quality of the Healthcare organizations in the U.S.

TECNEX is a privately held organization that specializes in physician office business management system and revenue cycle management (medical billing). Its technology is unique and effective, extending the use of electronic health records beyond practice walls and creating a platform for the physicians to manage the entire business. TECNEX has an established customer base of physicians and medical professionals across all 50 states.

Job Specification

Looking for Experience/ Fresh Resources:

Day-to-day responsibilities include:

  1. Reviews health record documentation, super bill, computer generated reports and other reporting tools to identify all services and procedures performed by physicians, physician assistants, nurse practitioners, laboratory technicians, and any other provider performing billable services.
  2. Using coded data to produce and submit claims to insurance companies.
  3. Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
  4. Reviewing and appealing unpaid and denied claims.
  5. Verifying patients' insurance coverage.
  6. Handling collections on unpaid accounts.
  7. Managing the facility's Accounts Receivable.
  8. Prepares paper and electronic claims for submission to the appropriate payer.
  9. Identifies services and procedures provided but not adequately documented in the health record. Advises office manager and provider of documentation deficiencies.
  10. Analyzes and resolves claim rejections and denials related to coding issues.
  11. Identifies trends and ongoing problems related to medical documentation and recommends possible solutions.
  12. Prepares, reviews, and sends patient statements.
  13. Answers patient questions, identifies and resolves patient billing complaints.
  14. Follows and reports status of delinquent accounts.
  15. Evaluates patient financial status and establishes payment plans.
  16. Other duties as advised by the Supervisor/Manager.

Information Technology and Services - Rawalpindi, Pakistan

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