Medical Claims Processor

14 hours ago


Lahore, Punjab, Pakistan beBeeMedicalClaimsProcessor Full time

We are seeking a skilled Medical Claims Processor to join our team. This individual will be responsible for processing patient billing information, verifying insurance eligibility, and analyzing trends in prior authorization denials.

  • This is an excellent opportunity for those who enjoy working with data, have strong analytical skills, and are experienced in medical billing software and insurance policies.
Key Responsibilities
  • Verify Patient Insurance Eligibility: Ensure accurate coverage for specific services and procedures.
  • Gather and Organize Medical Documentation: Support prior authorization requests with up-to-date records.
  • Submit Prior Authorization Requests: Electronically or through insurance portals.
  • Follow Up on Pending Authorizations: Address any issues that arise and maintain accurate records.
  • Analyze Trends in Prior Authorization Denials: Identify opportunities for improvement and develop strategies to enhance the prior authorization process.
Required Skills and Qualifications
  • Minimum 2 Years of Experience: In a prior authorization or medical billing role.
  • Excellent Knowledge of Medical Terminology: And billing codes.
  • Strong Understanding of Healthcare Insurance Plans: And prior authorization requirements.
  • Proficient in Microsoft Office Suite: And other relevant software.
  • Excellent Communication and Interpersonal Skills: Ability to work independently and as part of a team.


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