Medical Billing Operations Coordinator

4 days ago


Lahore, Punjab, Pakistan Deline Media Full time

Job Description:

Deline Media, a leading provider of customer service and operational support in the US, is seeking a dynamic individual to join its medical billing team. As a key member of our team, you will be responsible for collecting on delinquent accounts, reprocessing charges, and appealing outstanding denials.

Duties and Responsibilities:

  • Collect on delinquent accounts and aggressively work aging receivables for both patient and insurance balances
  • Resubmit charges for reprocessing, providing supporting documentation for medical necessity and/or taking corrective action for resubmission
  • Apeal outstanding denials issued by the insurance carrier
  • Retrieve explanation of benefits from payer portals to reconcile deposits and post both payer and patient payments expeditiously
  • Proactively communicate identified denial trends
  • Responsible for charge and payment entry within Electronic Health Records
  • Coordinates and clarifies with providers when necessary on information that seems incomplete or lacking for proper account/claim adjudication
  • Responsible for correcting, completing, and processing claims
  • Perform follow-up with insurance companies on unpaid insurance accounts identified through aging reports
  • Manage communication and coordination with internal departments
  • Handle all channels efficiently (Calls, Emails, Chats & Faxes)
  • Maintain the protocols and documentation of each performed task
  • Perform miscellaneous job-related duties as assigned

Requirements:

  • Strong communication skills, writing skills along with active listening
  • Familiarity with EMR/EHR systems and practice
  • Ability to multi-task, set priorities and manage time effectively
  • Computer literacy
  • Previous experience in a customer support role or documentation specialist (Minimum 1 year)
  • University/college degree or equivalent diploma
  • Adaptability and flexibility
  • Attention to detail & Pressure handling
  • Age requirement 20-35 Years


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