Accounts Receivable Specialist

7 days ago

Karachi, Sindh, Pakistan Mac Care Full time $104,000 - $130,878 per year

Job Summary:

We seek candidates to join our organization as Accounts Receivable Specialists for night shift operations. The accounts receivable specialist is responsible for managing the billing and coding process for medical services provided by the healthcare facility. This position requires attention to detail, familiarity with healthcare insurance policies and medical terminology, and proficiency in coding and billing software. The ideal candidate will ensure accurate and timely submission of claims, resolve billing discrepancies, and ensure compliance with healthcare regulations.

Key Responsibilities:

  • Claims Submission: Submit medical claims to insurance companies, government agencies (Medicare/Medicaid), and patients for payment.
  • Insurance Verification: Verify patient insurance information, ensuring accuracy of coverage, billing, and coding before claims are submitted.
  • Coding: Review patient charts and assign appropriate ICD-10, CPT, and HCPCS codes for services rendered.
  • Payment Posting: Post payments from insurance companies and patients into the billing system, ensuring correct allocation.
  • Account Management: Monitor patient accounts for outstanding balances, payment discrepancies, and aging reports.
  • Claim Follow-up: Follow up on denied, rejected, or unpaid claims by contacting insurance providers or patients and resolving issues.
  • Patient Communication: Communicate with patients to explain bills, payment plans, and outstanding charges.
  • Compliance: Ensure that all billing practices adhere to federal, state, and insurance regulations, including HIPAA compliance.
  • Reporting: Prepare and submit regular billing reports, including status updates on unpaid claims, outstanding patient balances, and financial projections.
  • Collaboration: Work closely with other departments (medical providers, front desk staff, coding team) to ensure accurate billing and resolution of discrepancies.
  • Dispute Resolution: Investigate and resolve billing disputes by working with insurance companies, patients, and healthcare providers.

Qualifications:

  • Experience: At least 1+ years of experience in medical billing, coding, or a related healthcare administrative role.
  • Knowledge: Strong knowledge of medical billing procedures, insurance verification, ICD-10, CPT, and HCPCS codes.
  • Technical Skills: Proficient with billing software and EHR (Electronic Health Record) systems. Familiarity with Microsoft Office Suite (Excel, Word).
  • Communication Skills: Strong written and verbal communication skills to interact effectively with patients, insurance companies, and healthcare providers.
  • Attention to Detail: High level of accuracy and attention to detail to avoid billing errors and discrepancies.
  • Organizational Skills: Ability to manage multiple accounts and tasks in a fast-paced environment.
  • Problem-Solving: Strong analytical and troubleshooting skills to resolve issues quickly and efficiently.

Preferred Skills:

  • Experience with Specific Payer Systems: Experience working with major insurance companies and government payers.
  • Familiarity with ICD-10 Updates: Knowledge of ongoing changes in coding regulations and payer requirements.

Job Type: Full-time

Work Location: In person

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