Medical Billing

4 weeks ago

Karachi, Sindh, Pakistan HKDL Full time
Medical Billing / AR Specialist
HKDL, Pakistan

As a Medical Billing OR A/R Specialist at HKDL, you will be responsible for accurately and efficiently handling medical billing processes, ensuring compliance with healthcare regulations, and maintaining high-quality standards in all billing procedures.

Responsibilities:

  • Accurately assign appropriate medical codes (CPT, ICD-10, HCPCS) to diagnoses and procedures for timely reimbursement.
  • Prepare and submit claims to insurance companies, ensuring accuracy, completeness, and adherence to payer requirements.
  • Monitor outstanding claims and follow up with insurance companies to resolve billing issues, denials, or rejections.
  • Post payments, adjustments, and denials accurately in the billing system, reconciling discrepancies and ensuring proper documentation.
  • Generate patient statements, answer billing inquiries, and assist patients with payment plans or financial arrangements as needed.
  • Stay updated with healthcare regulations, coding guidelines, and insurance policies to ensure compliance and minimize billing errors.

Requirements:

  • Proven experience as a Medical Biller in a US healthcare setting or similar role.
  • Proficiency in medical billing software and electronic health records (EHR/EMR) systems.
  • In-depth knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and insurance billing procedures.
  • Strong understanding of healthcare compliance and privacy regulations (HIPAA).
  • Excellent communication skills with the ability to interact professionally with patients, insurance companies, and healthcare providers.
  • Detail-oriented, analytical mindset, and ability to work efficiently in a fast-paced environment.
  • Must Have 2 to 3 Year Experience
  • Knowledge of Medicare, Medicaid, IPAs & Medicare advantage plans.
  • Proficiency in Microsoft Office Suite and other relevant software.

Qualifications:

Bachelor's degree in business administration or related field.

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