Medical Billing Operations Director

9 hours ago


Lahore, Punjab, Pakistan PCS Pakistan Full time

Job Title: Medical Billing Operations Director

Practice Care Solutions Pakistan offers an exciting opportunity to join our team as a Medical Billing Operations Director. In this role, you will oversee all aspects of medical billing operations, ensuring accurate and timely submission of claims to insurance companies, government programs, and patients.

Responsibilities:

  • Supervise a team of billers to ensure accurate and timely submission of claims.
  • Develop and implement billing processes and procedures to ensure compliance with payer requirements and regulations.
  • Collaborate with clinical teams to resolve coding issues and ensure accurate charge capture.
  • Manage claim denials, coordinate appeals, and perform follow-up on unpaid or rejected claims.
  • Monitor accounts receivable (AR) aging reports and work to reduce outstanding balances.
  • Prepare and review billing reports, ensuring that all financial transactions are properly documented and reconciled.

Requirements:

  1. Associate's or bachelor's degree in healthcare administration, business, or a related field is preferred.
  2. At least 5 years of experience in medical billing, including 2 years in a managerial or leadership role.
  3. Strong understanding of medical coding (ICD-10, CPT, HCPCS) and reimbursement policies.
  4. Minimum of 2 years of experience in credentialing healthcare providers with health plans and insurance carriers.


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