Healthcare Operations Specialist

1 day ago

Rawalpindi Cantonment, Pakistan beBeeRevenueCycle Full time $60,000 - $100,000

The Revenue Cycle E&A Specialist plays a pivotal role in facilitating efficient and compliant revenue cycle operations.

This position is responsible for ensuring accurate and timely insurance verification, managing authorizations, and tracking physician orders.

  • Main Responsibilities:
  • Insurance Verification: Perform initial verification of patients' insurance coverage for services, conduct monthly re-verifications to identify any changes in insurance, accurately document verification information within the client's Electronic Medical Record (EMR) system.
  • Authorization Management: Submit initial authorization requests to insurance companies for services requiring pre-certification, compile and submit required medical documentation from the client's EMR to support authorization requests, manage follow-up and subsequent authorization requests as needed.
  • Physician Order Tracking: 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 client's EMR, ensuring compliance.
  • Documentation & Reporting: Develop and maintain internal tracking spreadsheets and databases to support day-to-day workflow.
  • Team Support: Assist in training new or existing staff on workflows and best practices, support other administrative or operational duties as assigned.

This role requires strong organizational skills, attention to detail, and effective communication skills. The ideal candidate will have experience in revenue cycle management and be proficient in using electronic medical records systems.

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