Medical Billing Specialist

Plot # 176, Korang Road, near Rahat Bakers, I-10/3, Islamabad, Pakistan | Posted on 11/29/2024

• Country Pakistan

Position Title: Medical Billing Specialist

Timings: 6:00pm - 3:00am

Department: Medical Billing

About Us:

RHB is a subsidiary of IKONIC Solution

Reliable Healthcare Billing ( RHB ) stands as a dynamic force within the healthcare sector, committed to optimizing revenue cycles and reshaping the financial landscape for healthcare providers. Our mission is to equip healthcare organizations with state-of-the-art technology and profound industry knowledge, providing inventive billing solutions that enhance profitability, streamline operations, and ensure sustained financial well-being.With an unwavering dedication to excellence, RHB has emerged as a reliable partner for healthcare providers navigating the intricate financial challenges of the industry. We take pride in our capacity to deliver tailored, results-oriented solutions that adapt to the ever-changing healthcare landscape.

Our team is driven by a passion to redefine the future of healthcare finance, and we're here to support healthcare providers in thriving amid an increasingly competitive environment. Join us in redefining success in healthcare finance and charting a path toward financial prosperity

Position Purpose:

We are currently seeking talented and driven individuals to join our team as RCM Specialists for Medical Billing. The candidates should possess a minimum of 2 years of mid-level experience in the medical billing service industry & Revenue cycle management. Exceptional communication skills are paramount for this role.

Education & Professional Qualification:

Degree(s)/Major(s): Bachelor's degree in healthcare administration or related field preferred.

Certification(s): Certification with Medicine/medical/health care will be preferred.

Experience:

2years of experience with RCM in Medical billing and RCM Softwares.

Proficiency in spoken English Native and Bilingual is a must.

Responsibilities:

• Ensure the accuracy of patient demographic and insurance details prior to claim submission, meticulously reviewing and verifying information.
  
• Prepare and submit claims electronically or via paper format to insurance companies, adhering to procedural guidelines for payment processing.
  
• Should be experienced in obtaining authorization from insurance companies.
  
• Diligently follow up on denied or rejected claims, investigating discrepancies and resolving issues to facilitate timely resubmission.
  
• Analyze and interpret insurance Explanation of Benefits (EOBs), promptly identifying and rectifying payment disparities for optimal reimbursement.
  
• Accurately process patient payments, adjustments, and refunds within the billing system, maintaining meticulous financial records.
  
• Provide prompt, professional responses to inquiries from patients, insurance entities, and healthcare providers concerning billing and coding inquiries.
  
• Stay abreast of evolving billing guidelines, reimbursement protocols, and regulatory mandates within the medical billing domain.
  
• Collaborate effectively with interdisciplinary healthcare professionals, including physicians, nurses, and administrative staff, to resolve billing and coding complexities.
  
• Actively engage in team meetings and educational sessions to remain informed of emerging trends and regulatory updates in medical billing and coding practices.
  
• Uphold strict patient confidentiality standards and ensure compliance with HIPAA regulations in all aspects of handling patient information.
  

Demonstrated experience of 2 years in medical billing, encompassing claim submission, payment posting, follow-ups, eligibility checks, and denial management.

Proficiency with electronic health record (EHR) systems and billing software such as ECW, Karea, Office Ally, Waystar, ModMed, Trizetto, Revolutionehr, Therapynotes, Greenway, and Change Healthcare, among others.

Competence in utilizing Microsoft Office applications for generating billing financial reports.

Familiarity with various medical specialties including Internal Medicine, Urology, Ophthalmology, Behavioral Health, Skilled Nursing Home, Home Health Care, and Hospice.

Strong analytical aptitude and keen attention to detail, enabling the identification and resolution of billing discrepancies.

Exceptional written and verbal communication skills for effective interaction with patients, insurance companies, and healthcare providers.

Ability to function effectively both independently and as part of a team in a fast-paced environment, meeting deadlines and achieving targets.

Proficient understanding of medical terminology, anatomy, and diverse insurance types such as Medicare, Medicaid, and commercial insurance.

Medical Health Insurance

Casual leaves

Paternity Leaves

Maternity Leaves

Bi-Annual Reviews

Why Should You Join IKONIC?

At Reliable Health medical Billing, we believe in providing opportunities to all its employees, which is why our job comes with a variety of challenging assessments meant to catapult your career to the next level. This is made evident with our offerings such as:

A growth mindset through the help of experienced and helpful Mentors. Ikonic is made up of passionate individuals who aim to support each other in their training as well as day-to-day tasks.

A Dynamic Environmen t where we focus on encouraging initiatives, promoting agility and creating a work/life balance. We know the value you bring in, and we aim to nurture it.

Market Competitive Compensation based upon your professional qualifications and skill set.

As an Equal employment opportunity provider. All employment associated decisions are based on an individual's merit.

Note: Above goals and job descriptions are indicative and subject to change.