Healthcare Revenue Cycle Specialist

2 weeks ago

Rawalpindi Cantonment, Pakistan beBeeInsurance Full time $600,000 - $1,200,000

Medical Billing Executive

The Medical Billing Executive plays a vital role in our company's success by ensuring accurate and timely submission of medical claims to insurance companies.

Key Responsibilities:
  • Reviews health record documentation, super bills, computer-generated reports, and other reporting tools to identify all services and procedures performed by physicians, physician assistants, nurse practitioners, laboratory technicians, and any other provider performing billable services.
  • Uses coded data to produce and submit claims to insurance companies.
  • Works directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
  • Reviews and appeals unpaid and denied claims.
  • Verifies patients' insurance coverage.
  • Handles collections on unpaid accounts.
  • Manages the facility's Accounts Receivable.
  • Prepares paper and electronic claims for submission to the appropriate payer.
  • Identifies services and procedures provided but not adequately documented in the health record. Advises office manager and provider of documentation deficiencies.
  • Analyzes and resolves claim rejections and denials related to coding issues.
  • Identifies trends and ongoing problems related to medical documentation and recommends possible solutions.
  • Prepares, reviews, and sends patient statements.
  • Answers patient questions, identifies and resolves patient billing complaints.
  • Follows and reports status of delinquent accounts.
  • Evaluates patient financial status and establishes payment plans.

This is an exciting opportunity for individuals who are passionate about delivering exceptional customer service and have excellent communication skills. If you are a motivated and detail-oriented professional looking to make a difference in the healthcare industry, we encourage you to apply.

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