Medical Claims Specialist

1 week ago


Karachi, Sindh, Pakistan beBee Careers Full time
Medical Billing Professional

We are seeking a detail-oriented Medical Billing Professional to join our team. As a key member of our organization, you will play a crucial role in ensuring the accurate and timely billing and payment for services rendered to patients.

Responsibilities:
  • Accurately process patient demographics, including insurance information, to ensure seamless billing operations.
  • Prepare and submit claims to insurance companies in a timely manner.
  • Follow up on outstanding and denied claims to minimize delays and optimize revenue.
  • Process payments promptly and accurately.
  • Investigate and resolve billing disputes and denials efficiently.
  • Communicate with insurance companies regarding unpaid claims and rejections.
  • Analyze medical billing data to identify trends and patterns, enabling data-driven decisions.
  • Nurture relationships with healthcare providers and insurance companies to facilitate smooth payment processing.
  • Provide regular reports on billing and collections activities to management.
  • Collaborate with cross-functional teams to enhance billing processes and workflow.
Requirements:
  • Minimum 3 years of experience in medical billing and collections, preferably in a fast-paced environment.
  • Strong knowledge of medical billing and coding practices, as well as healthcare regulations and insurance policies.
  • Experience in RPM billing is preferred.
  • Bachelor's Degree in Computer Science, Healthcare Administration, or Commerce related field is preferred.
  • Proficiency in English Language, GSuite, and Slack.
  • Excellent problem-solving and organizational skills.
  • Solid understanding of billing software and electronic medical records.
  • Exceptional communication and time management skills.
  • Meticulous attention to detail is essential.
  • Demonstrated ability to work independently.
  • Familiarity with HIPAA requirements related to medical records and billing.
  • Able to manage multiple projects concurrently.


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