Pakistan Job Openings
Sharina World Foundation
Medical Billing And Accounts Receivable Specialist
Lahore
FULL TIME
October 12, 2024
Medical Billing And Accounts Receivable Specialist
Lahore DHA Phase 8 Based
Pakistan Shift Options: 5 PM - 2 AM
Job Overview: We are seeking highly skilled and motivated Medical Billing and Accounts Receivable Specialists to join our team. This role is crucial in ensuring the financial health of the medical practices by managing the billing processes, handling accounts receivable, and ensuring accurate and timely payments. The ideal candidates will have extensive experience with electronic medical records (EMR) systems like Cure MD and possess a deep understanding of medical billing and coding processes.
Key Responsibilities:
Billing Management:
Application Question(s):
Lahore DHA Phase 8 Based
Pakistan Shift Options: 5 PM - 2 AM
Job Overview: We are seeking highly skilled and motivated Medical Billing and Accounts Receivable Specialists to join our team. This role is crucial in ensuring the financial health of the medical practices by managing the billing processes, handling accounts receivable, and ensuring accurate and timely payments. The ideal candidates will have extensive experience with electronic medical records (EMR) systems like Cure MD and possess a deep understanding of medical billing and coding processes.
Key Responsibilities:
Billing Management:
- Charge Entry: Accurately enter charges into the EMR system, ensuring all services provided are billed correctly. This includes verifying patient information, coding diagnoses and procedures, and ensuring that all charges are captured according to billing guidelines.
- Electronic Remittance Advice (ERAs): Process ERAs to post payments and adjustments, ensuring accurate reconciliation of patient accounts. Analyze ERA reports to identify and correct any discrepancies.
- Explanation of Benefits (EOBs): Review and interpret EOBs to ensure proper payment allocation. Investigate any discrepancies and take appropriate action to resolve payment issues.
- Problem Claims: Identify and resolve issues with problematic claims. This involves working closely with insurance companies to determine the cause of the problem and implementing solutions to prevent future occurrences.
- Secondary Billing: Handle secondary insurance billing, ensuring that claims are submitted accurately and timely. Coordinate with primary insurers to ensure proper allocation of benefits.
- Credentialing: Manage the credentialing process to ensure providers are enrolled and credentialed with insurance companies and other healthcare organizations. Maintain up-to-date records and ensure compliance with credentialing requirements.
- Rejections and Denials: Address and resolve rejected and denied claims promptly. This includes analyzing denial reasons, preparing appeal letters, and resubmitting claims with appropriate documentation.
- Patient Unapplied Payments: Manage unapplied patient payments, ensuring they are accurately posted to the appropriate accounts. Investigate and resolve any discrepancies to ensure accurate patient billing.
- Credit Balances: Regularly review accounts for credit balances. Issue refunds to patients or insurance companies as necessary. Ensure that all credit balances are resolved in a timely manner.
- Insurance and Patient Collection: Conduct follow-ups on outstanding balances from insurance companies and patients. Implement effective collection strategies to minimize accounts receivable. This includes making collection calls, sending statements, and negotiating payment plans with patients.
- AR Claims Processing: Handle all aspects of accounts receivable claims processing. This includes submitting claims, following up on unpaid claims, and ensuring compliance with payer requirements. Track the status of claims and take action to expedite payment.
- Insurance Eligibility Checks: Verify insurance eligibility and benefits for patients. This includes checking coverage details, confirming patient information, and ensuring that all necessary authorizations are in place before services are rendered.
- Medical Records: Maintain and manage accurate medical records. Ensure that all documentation supports the services billed. This includes organizing records, verifying completeness, and ensuring that all information is up-to-date and accurate.
- Documentation: Ensure all necessary documentation for billing and claims is complete and accurate. This includes obtaining and reviewing medical records, verifying coding accuracy, and ensuring that all required signatures and authorizations are obtained.
- Interdepartmental Coordination: Work closely with medical staff and other departments to ensure accurate and timely billing. This includes coordinating with providers to obtain necessary documentation and resolving any billing-related issues.
- Insurance Companies: Maintain strong relationships with insurance companies to facilitate problem resolution and ensure timely payment. This includes communicating with insurance representatives, addressing issues, and negotiating settlements.
- Patient Interaction: Communicate effectively with patients to address billing inquiries, resolve issues, and provide clarity on charges and payments. This includes answering patient questions, explaining billing policies, and assisting with payment arrangements.
- Compliance: Ensure all billing and accounts receivable activities comply with relevant laws, regulations, and guidelines (e.g., HIPAA, payer requirements). Stay informed about changes in billing regulations and update practices accordingly.
- Reporting: Generate and analyze reports on billing, accounts receivable, and financial performance. Provide regular updates to the Billing Manager and other stakeholders. This includes preparing monthly financial statements, tracking key performance indicators, and identifying areas for improvement.
- Clinic Outreach: Assist in outreach efforts to sign on additional clinics to provide billing and accounts receivable services. This includes identifying potential clinic partners, conducting outreach campaigns, and communicating the benefits of our billing and AR solutions.
- Relationship Building: Develop and maintain strong relationships with clinic administrators and decision-makers. Present our services effectively and address any questions or concerns they may have.
- Marketing Support: Collaborate with the marketing team to develop and implement marketing strategies aimed at attracting new clinic partners. Assist in creating promotional materials and participating in outreach events.
- Onboarding Support: Facilitate the onboarding process for new clinic partners, ensuring a smooth transition to our billing and AR services. Provide training and support to clinic staff as needed.
- Proficiency in using EMR systems like Cure MD.
- Strong knowledge of billing codes (CPT, ICD-10, HCPCS) and payer requirements.
- Experience with medical billing software.
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
- Familiarity with insurance portals and online billing systems.
- Ability to use data analysis tools to generate reports and insights.
- Understanding of automated billing processes and workflows.
- Knowledge of healthcare regulations and compliance standards (e.g., HIPAA).
- Experience with electronic remittance advice (ERA) and explanation of benefits (EOB) processing.
- Familiarity with credentialing processes and requirements.
- Education: Bachelor’s degree in Accounting, Finance, Business Administration, or a related field is preferred.
- Experience: Minimum of 3-5 years of experience in medical billing and accounts receivable management. Experience with EMR systems like Cure MD is required.
- Certifications: Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) is a plus.
- Analytical Skills: Strong analytical skills with the ability to identify and resolve billing issues. Proficient in data analysis and financial reporting.
- Communication Skills: Excellent verbal and written communication skills. Ability to interact effectively with insurance companies, patients, and internal staff.
- Organizational Skills: Exceptional organizational skills with the ability to manage multiple tasks and deadlines. Strong attention to detail.
- Competitive salary and benefits package.
- Incentive bonuses based on milestones achievements.
- Opportunities for professional growth and leadership.
- Impactful work that improves patient well-being.
- Collaborative and supportive team environment.
- Proficiency in using EMR systems like Cure MD.
- In-depth understanding of medical billing and coding processes.
- Ability to work independently and as part of a team.
- Strong problem-solving and critical-thinking skills.
- Ability to handle sensitive and confidential information with discretion.
Application Question(s):
- Are you able to work onsite in Lahore, Pakistan for the following evening/night shift: 5 PM - 2 AM?
- Do you have a Bachelor’s degree in Accounting, Finance, Business Administration, or a related field?
- Do you have at least 3 years of experience in medical billing and accounts receivable management?
- Are you proficient in using EMR systems like Cure MD?
- Are you familiar with billing codes such as CPT, ICD-10, and HCPCS?
- Have you handled the full cycle of medical billing, including charge entry, ERAs, EOBs, and rejections?
- Have you managed accounts receivable, including patient unapplied payments and credit balances?
- Are you experienced in secondary billing and coordination of benefits?
- Do you have experience working with insurance companies to resolve claim rejections and denials?
- Are you proficient in insurance eligibility checks and verifying patient benefits?
- Do you have strong communication skills to interact with patients and insurance companies?
- Have you been involved in outreach efforts to sign on new clinic partners for billing and AR services?
- Do you have experience building relationships with clinic administrators and decision-makers?
- What are your salary requirements?
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