Medical Claims Administrator

1 day ago

Quetta City Tehsil, Pakistan beBeeHealthcare Full time $50,000 - $80,000
Revenue Cycle Specialist Role

We are seeking a highly skilled and detail-oriented individual to manage administrative tasks critical to the revenue cycle process.

About This Position

The ideal candidate will have experience in accounts receivable, medical billing rules, insurance guidelines, and regulatory compliance.

  • This role involves managing a range of tasks including initial verification of patients' insurance coverage for services.
  • Performing monthly re-verifications to identify any changes in insurance coverage.
  • Accurately documenting verification information within the client's Electronic Medical Record (EMR) system.
  • Submitting initial authorization requests to insurance companies for services requiring pre-certification.
  • Compiling and submitting required medical documentation from the client's EMR to support authorization requests.
  • Managing follow-up and subsequent authorization requests as needed.
  • Sending unsigned physician orders to appropriate physician offices for review and signature.
  • Following up on outstanding or aged unsigned orders and implementing strategies for timely completion.
  • Reviewing and uploading signed physician orders into the client's EMR, ensuring compliance.
Key Responsibilities

The Revenue Cycle Specialist is responsible for:

  1. Verifying patient insurance coverage and maintaining accurate records.
  2. Coordinating with healthcare providers to obtain necessary documentation.
  3. Ensuring timely submission of claims and authorizations.
  4. Maintaining accurate and up-to-date records of patient interactions.

This position requires strong organizational skills, attention to detail, and excellent communication skills. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply.

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