
Vision Care Senior Insurance Claims Specialist
5 days ago
We are seeking a highly skilled and experienced Senior Insurance Claims Specialist to join our team. In this role, you will be responsible for managing insurance verifications, authorizations, collecting, posting, and managing account payments. You will also submit claims and follow up with insurance companies to ensure timely payment.
">Key Responsibilities:
">- ">
- Prepare and submit vision claims daily to various insurance companies either electronically or by paper.">
- Promptly process payments from insurance companies.">
- Identify and resolve insurance & patient billing complaints.">
- Follow up on aging claims or delinquent accounts.">
- Participate in educational activities and attend monthly billing meetings.">
- Maintain the strictest confidentiality; adhere to all HIPAA – PHI guidelines/regulations.">
Required Skills and Qualifications:
">- ">
- Solid knowledge of vision care billing/collection practices.">
- Sound understanding of vision care payers' guidelines and submission process.">
- Expertise in Medicaid & MCD MCOs' claims processing.">
- Knowledge of authorizations & denial management.">
- Knowledge of computer programs.">
- Knowledge of business office procedures.">
- Ability to operate a computer and basic office equipment.">
- Ability to read, understand and follow oral and written instructions.">
- Ability to establish and maintain effective working relationships with team members or supervisors.">
Benefits:
">- ">
- Paid leaves.">
- Lucrative monthly bonuses (TBD).">
- MTD bonus.">
- HR bonus.">
- Inflation bonus.">
- Promotion.">
- Increment.">
- Medical benefits (TBD).">
- EOBI benefits (TBD).">
- Saturday and Sunday off.">
- Transportation allowances only for female staff.">
- Complimentary food (dinner) & tea/green tea (two times).">
Location and Timing:
">- ">
- Medic IT Nexus Office No 1, Top Floor, Gold Mark Plaza, Asghar Mall road, Rawalpindi.">
- 05:00 PM To 03:00 AM.">
Job Types:
">- ">
- Full-time.">
- Contract.">
Contract Details:
">- ">
- 36 months.">
Salary:
">Rs50,000.00 - Rs70,000.00 per month.
">Industry: Vision Care
">Work Type: Full-time
">Claims Manager/Insurance Verifier-
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