Healthcare Accounts Receivable Expert

18 hours ago


Lahore, Punjab, Pakistan HRMD Solutions Full time

About Us:

HRMD Solutions is a leading provider of revenue cycle management services to healthcare organizations in the USA. We are committed to delivering high-quality services that meet the needs of our clients.

  • Our Team:
  • We have a team of experienced professionals who are dedicated to providing excellent service to our clients.
  • We are committed to delivering high-quality services that meet the needs of our clients.

Key Responsibilities:

  • Verify patient eligibility and benefit verification through calls and web portals.
  • Review and verify medical codes, including CPT, ICD-10, and HCPCS.
  • Transmit corrected claims electronically or by paper according to payers' requirements.
  • Monitor and follow up on unpaid or denied claims to ensure timely resolution.
  • Contact insurance companies to inquire about claims status and facilitate payment.
  • Review aging reports regularly to prioritize and address delinquent accounts.
  • Initiate appeals for denied or underpaid claims and track the appeal process.
  • Develop denial management strategies to minimize future denials.
  • Maintain detailed records of appeals.
  • Understand insurance policies, reimbursement methodologies, and billing guidelines.
  • Collaborate with billing and coding teams to address recurring issues.
  • Investigate and resolve discrepancies in payments, adjustments, or denials.
  • Identify claim processing issues and general billing trends.


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