Physician Billing Specialist

1 week ago

Rawalpindi Cantonment, Pakistan beBee Careers Full time

We are seeking an experienced Medical Claims Specialist to join our team. The successful candidate will be responsible for reviewing health record documentation, super bills, and computer-generated reports to identify all services and procedures performed by physicians and other providers.

This is a critical role in ensuring that claims are accurately submitted to insurance companies and processed in a timely manner. The ideal candidate will have excellent analytical and communication skills, with the ability to work effectively with healthcare providers, insurance companies, and patients.

Responsibilities:
  • Review and analyze health record documentation, super bills, and computer-generated reports to identify billable services and procedures.
  • Use coded data to produce and submit claims to insurance companies.
  • Work directly with insurance companies, healthcare providers, and patients to resolve claim issues and obtain payment.
  • Verify patient insurance coverage and handle collections on unpaid accounts.
  • Manage facility Accounts Receivable and prepare paper and electronic claims for submission.
  • Analyze and resolve claim rejections and denials related to coding issues.
  • Identify trends and ongoing problems related to medical documentation and recommend solutions.
  • Prepare, review, and send patient statements.
  • Answer patient questions and resolve billing complaints.
  • Evaluate patient financial status and establish payment plans.
Requirements:
  • Bachelor's degree in Health Information Management or a related field.
  • Minimum 2 years of experience in medical billing and claims processing.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to work effectively in a fast-paced environment.

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