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Healthcare Insurance Processor

2 weeks ago

Lahore, Punjab, Pakistan beBeeCoding Full time 80,000 - 90,000
Medical Coding Specialist

A medical facility seeks a skilled Medical Coding Specialist to join its administrative team. The ideal candidate will possess strong analytical skills, excellent communication abilities, and thorough knowledge of medical terminology and billing codes.

Key Responsibilities:
  • Verify patient insurance eligibility and coverage for specific services and procedures.
  • Gather and organize necessary medical documentation to support prior authorization requests.
  • Submit prior authorization requests electronically or through insurance portals.
  • Follow up on pending authorizations and address any issues that arise.
  • 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.
  • Participate in ongoing training and development opportunities to stay current on changes in healthcare regulations and billing practices.
  • Stay updated on the latest technology and software used in the prior authorization process.
Requirements:
  • 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.
  • Excellent problem-solving and analytical skills.
  • Strong organizational and time management skills.
  • Bachelor's degree in Healthcare Administration or related field (preferred).