Healthcare Operations Specialist

6 days ago


Sukkur, Sindh, Pakistan beBeeRevenue Full time $60,000 - $80,000

About SimiTree Healthcare Consulting:

We offer comprehensive revenue cycle management services to the healthcare industry, utilizing our expertise in optimizing operations, revenue, and clinical performance.

The Revenue Cycle Specialist plays a crucial role in ensuring efficient and compliant revenue cycle operations. Key responsibilities include insurance verification, authorization management, physician order tracking, documentation, and team support.

Key Requirements:

  • Bachelor's degree in Accounting, Finance, or a related field
  • At least 1 year of experience in an Accounts Receivable role
  • In-depth understanding of medical billing rules, insurance guidelines, and regulatory compliance

Responsibilities:

Insurance Verification
  • Verify patients' insurance coverage for services
  • Document verification information within the client's Electronic Medical Record (EMR) system
Authorization Management
  • Submit initial authorization requests to insurance companies
  • Compile and submit required medical documentation from the client's EMR to support authorization requests
Physician Order Tracking
  • Send unsigned physician orders to physician offices
  • Follow up on outstanding or aged unsigned orders
Documentation & Reporting
  • Develop internal tracking spreadsheets and databases
Team Support
  • Assist in training new staff on workflows and best practices


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