Healthcare Documentation Specialist

12 hours ago

Rawalpindi Cantonment, Pakistan beBeeBilling Full time 800,000 - 1,500,000
Medical Billing Professional

We are seeking a highly skilled Medical Billing Professional to join our team.

The ideal candidate will possess excellent analytical and communication skills, with the ability to work effectively in a fast-paced environment. They will be responsible for reviewing health records, identifying services and procedures performed by healthcare providers, and producing and submitting claims to insurance companies.

Responsibilities:
  • Reviews health record documentation, super bill, computer-generated reports, and other reporting tools to identify all services and procedures performed by physicians, physician assistants, nurse practitioners, laboratory technicians, and any other provider performing billable services.
  • Uses coded data to produce and submit claims to insurance companies.
  • Works directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
  • Reviews and appeals unpaid and denied claims.
  • Verifies patients' insurance coverage.
  • Handles collections on unpaid accounts.
  • Manages the facility's Accounts Receivable.
  • Prepares paper and electronic claims for submission to the appropriate payer.
  • Identifies services and procedures provided but not adequately documented in the health record. Advises office manager and provider of documentation deficiencies.
  • Analyzes and resolves claim rejections and denials related to coding issues.
  • Identifies trends and ongoing problems related to medical documentation and recommends possible solutions.
  • Prepares, reviews, and sends patient statements.
  • Answers patient questions, identifies and resolves patient billing complaints.
  • Follows and reports status of delinquent accounts.
  • Evaluates patient financial status and establishes payment plans.

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