Medical Billing A/R Specialist
2 weeks ago
eServMD Pvt Ltd is a service provider company based in Islamabad Pakistan providing services to US-based companies and clients in the field of Electronic Medical Records (EMR), Medical Practice Management, Medical Billing, Real Estate, Accounts & Finance.
We are seeking experienced and detail-oriented A/R Specialists to join our team.
Responsibilities:
- Work on CPT/ICD coding to ensure accurate and compliant billing practices.
- Review patient bills for accuracy, completeness, and obtain any missing information.
- Knowledge of insurance guidelines, especially Medicare and state Medicaid, to ensure proper billing procedures.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Check each insurance payment for accuracy and compliance with contract discounts.
- Contact insurance companies regarding any discrepancies in payments, if necessary.
- Identify and bill secondary or tertiary insurances.
- Review all accounts for insurance or patient follow-up.
- Answer patient or insurance telephone inquiries related to assigned accounts.
- Communicate effectively with team members and clients.
- Perform account receivables, denial management, and appeal management.
- Maintain protocols and documentation for each performed task.
- Assist with any other tasks as assigned by management.
- Maintain strong verbal communication skills in English.
Job Specification:
- Minimum 1-3 years of experience in Medical Billing.
- Excellent working knowledge of EHRs and medical billing software such as CureMD, Kareo, ECW, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals, and other related tools and software.
- Strong knowledge of medical billing and coding practices.
- Experience in denial management and appeals.
- Proficient in handling authorization processes (pre, post, and retro).
- Ability to conduct research and generate management reports.
- Must be a team player and collaborate effectively with colleagues.
- Strong verbal and written communication skills in English, including good typing speed.
- Familiarity with infrastructure as code of conduct.
- Excellent problem-solving and troubleshooting skills.
- Experience in accounts receivable follow-up.
- Denial management experience for multi-specialty groups.
- Ability to handle insurance calling and retrieval of EOBs.
- Efficient and fluent communication with external entities.
- Familiarity with insurance account receivable processes.
Job Type: Full-time
Job Type: Full-time
Work Location: In person
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