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Healthcare Revenue Cycle Management Specialist

3 weeks ago

Rawalpindi Cantonment, Pakistan beBeeMedical Full time 600,000 - 800,000

Job Overview

We are seeking an experienced and detail-oriented Medical Biller to manage our healthcare revenue cycle management team.

  • Manage complete RCM workflow from charge entry to payment posting.
  • Prepare and submit accurate electronic and paper claims to payers.
  • Conduct verification of benefits (VOB) and prior authorizations for procedures and treatments.
  • Perform timely accounts receivable (AR) follow-ups to ensure claim resolution and payment recovery.
  • Address and resolve claim denials, rejections, and appeals efficiently.
  • Accurately post insurance and patient payments, and reconcile accounts.
  • Handle patient billing inquiries, ensuring clear and professional communication.
  • Ensure compliance with regulations and internal company policies.
  • Analyze and report on billing trends, claim issues, and reimbursement discrepancies.
  • Collaborate with providers and internal departments to optimize revenue.

Requirements

  • Minimum 5 years of medical billing experience in a multispecialty or high-volume setting.
  • In-depth knowledge of CPT, ICD-10, HCPCS, and billing guidelines.
  • Strong knowledge of payer policies and the appeal process for denied/rejected claims.
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently and as part of a team in a fast-paced environment.

Benefits

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Rawalpindi, Punjab, Pakistan