Healthcare Revenue Cycle Specialist

1 day ago

Islamabad, Islamabad, Pakistan beBeeBilling Full time $42,000 - $57,000

Medical billing specialists play a vital role in the healthcare sector, optimizing revenue cycles and enhancing financial outcomes for healthcare providers.

Key Responsibilities
  • Verify patient demographic information prior to claim submission, ensuring accuracy and compliance.
  • Prepare and submit claims electronically or via paper format, adhering to procedural guidelines for payment processing.
  • Obtain authorization from insurance companies, facilitating timely reimbursement.
  • Analyze and interpret insurance Explanation of Benefits (EOBs), identifying and rectifying payment disparities for optimal reimbursement.
  • Process patient payments, adjustments, and refunds accurately within the billing system, maintaining meticulous financial records.
  • Provide professional responses to inquiries from patients, insurance entities, and healthcare providers concerning billing and coding inquiries.
  • Stay updated on evolving billing guidelines, reimbursement protocols, and regulatory mandates in medical billing.
  • Collaborate with interdisciplinary healthcare professionals to resolve billing and coding complexities.

Up‑hold strict patient confidentiality standards and ensure compliance with HIPAA regulations in all aspects of handling patient information.

Required Skills and Qualifications

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.

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

Familiarity with various medical specialties.

Strong analytical aptitude and attention to detail, enabling 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.

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