Medical Claims Analyst

1 week ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking a Medical Biller to process patient billing information and help our patients throughout the billing process.

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The ideal candidate will have experience with billing software and medical insurance policies, as well as strong analytical skills to analyze trends in prior authorization denials.

Responsibilities include verifying patient insurance eligibility and coverage, gathering and organizing necessary medical documentation, and submitting prior authorization requests electronically or through insurance portals.

Additionally, the successful candidate will be able to develop and implement strategies to improve the prior authorization process, maintain accurate records of all prior authorization requests and responses, and liaise with healthcare providers, insurance companies, and other stakeholders as needed.

A minimum of 2 years of experience in a prior authorization or medical billing role is required, along with excellent knowledge of medical terminology and billing codes.

The ideal candidate will also possess strong communication and interpersonal skills, as well as the ability to work independently and as part of a team.

Key Responsibilities:

  • Verify patient insurance eligibility and coverage
  • Gather and organize necessary medical documentation
  • Submit prior authorization requests electronically or through insurance portals
  • Analyze trends in prior authorization denials and identify opportunities for improvement
  • Develop and implement strategies to improve the prior authorization process
  • Maintain accurate and up-to-date records of all prior authorization requests and responses
  • Liaise with healthcare providers, insurance companies, and other stakeholders as needed

Required Skills and Qualifications:

  • Minimum 2 years of experience in a prior authorization or medical billing role
  • Excellent knowledge of medical terminology and billing codes
  • Strong understanding of healthcare insurance plans and prior authorization requirements
  • Proficient in Microsoft Office Suite and other relevant software
  • Excellent communication and interpersonal skills
  • Strong attention to detail and ability to prioritize tasks
  • Ability to work independently and as part of a team
  • Strong problem-solving and analytical skills
  • Strong organizational and time management skills
  • Bachelor's degree in Healthcare Administration or related field (preferred)

Working Hours: 6:00 pm to 3:00 am

Location: Night-Shift Position

Salary:80k - 90k


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