Healthcare E&A Operations Expert

2 days ago

Bahawalpur City Tehsil, Pakistan beBeeRevenue Full time $60,000 - $75,000

About the Role

The Revenue Cycle Specialist plays a pivotal role in supporting seamless and compliant revenue cycle operations. This position is responsible for ensuring precise and timely insurance verification, managing authorizations, and tracking physician orders.

  • Manage initial insurance verifications for patients' services
  • Conduct monthly re-verifications to identify changes in insurance
  • Accurately document verification information within the Electronic Medical Record (EMR) system
  • Submit initial authorization requests to insurance companies for services requiring pre-certification
  • Compile and submit required medical documentation from the EMR to support authorization requests
  • Manage follow-up and subsequent authorization requests as needed
  • Send unsigned physician orders to appropriate physician offices for review and signature
  • Follow up on outstanding or aged unsigned orders and implement strategies for timely completion
  • Review and upload signed physician orders into the EMR, ensuring compliance

Key Responsibilities:

This specialist will be accountable for administering and executing administrative and operational tasks crucial to the revenue cycle process.

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