Position: Medical Billing Officer
Location: CCA 23, 2nd Floor, DHA Phase 8, Ex Park View, Lahore, Pakistan
Salary Range: 50,000 to 70,000 PKR per month
Employment Type: Full-time (Night Shift)
Experience: 2 to 3 Years
You will take all of the data provided on a patient and use it to submit claims electronically for reimbursement and collect payment for the services provided. Responsibilities include, but not limited to, registering the patient and verifying insurance coverage, collecting the information required to create a claim, knowledge of CPT and ICD-10 coding systems, working directly with the insurance company, healthcare provider, and patient to get a claim processed electronically and paid, knowledge of CMS-1500 & UB-04 billing forms, reviewing and appealing unpaid and denied claims, posting payments and contractual adjustments to patient's accounts, knowledge of third party and CMS Fee schedules, handling collections on unpaid accounts, managing the Accounts Receivable reports, answering patients' billing questions.
DUTIES MAY ALSO INCLUDE BUT ARE NOT LIMITED TO:

• Day-to-day billing operations
• Charge posting
• Posting payments
• Being knowledgeable of and adhering to all legal and regulatory requirements concerning appropriate billing
• Insurance claim follow-up
• Contacting patients about outstanding balances
• Front desk coverage
• Determining best avenues for claim submission
• Appealing denied claims
• Insurance verification
• Obtaining prior approval/authorization for 2 infusion medications administered on site
• Maintaining allowed fee schedules
• Patient check-in and check-out
• Documenting interaction with payers
• Posting payments
• Medical billing & medical coding
• Retrieving electronic fund transfer admittance advice
• Problem solving and addressing issues raised by physicians, employees, and patients, proactively identifying process improvements and system enhancements, engaging in special projects in addition to routine responsibilities
• Posting charges daily from the surgical center and from the physicians
• Retrieving and processing EFTs from government and commercial payers
• Processing paper checks for bank deposits
• Providing the highest quality customer care to patients inquiring about their statements
• Transmitting claims through a clearinghouse while maintaining low rejection rate
• Providing balanced daily transactions Excel spreadsheets

MINIMUM QUALIFICATIONS: BACHELORS DEGREE
Working knowledge of:

• Requirements of commercial and government insurance plans
• HMO, POS and PPO plans
• Basic math and medical practice accounting
• HIPAA regulations
• Office equipment (i.e. copy machine, fax machine, computers)
• Organization policies, procedures, systems, and objectives.
• Legal and regulatory requirements
• Insurance billing, revenue management, and collections
• Basic computer skills, including proficient use of the Microsoft Office Suite of products
• A/R management
• Deductibles and co-pays
• CPT and ICD coding as applied in physician practices for billing and clinical purposes
• Medical billing procedures and medical insurance

PREFERRED EXPERIENCE

• Experience in or exposure to the field of PRIMARY CARE & URGENT CARE CENTERS.
• Strong financial background with previous experience in physician office billing, coding, and revenue cycle management.
• PRACTICE FUSION experience.
• Account Payable (A/P) and Accounts Receivable (A/R).
• Personnel management and payroll systems.
• Knowledge of compliance, workplace safety/OSHA, HIPAA and other regulatory issues.
• Excellent interpersonal and communication skills.
• Strong attention to detail, impeccable organizational skills and high work ethic.
• Fiscal management and human resource management techniques.
• Accounting systems, budgeting, insurance billing, revenue management, and collections.
• Medical billing procedures and medical insurance.
• Managed-care contracting requirements.
• Insurance.
• Regulatory Compliance and Service Standards.
• CPT and ICD coding as applied in physician practices for billing and clinical purposes, including ICD10.
• Basic computer skills, including proficient use of the Microsoft Office Suite of products.
• Interfacing with vendors, accountants, and other professionals that supply service to the company.
• Proven track record in growing physician practice revenues and volumes.
• Medical billing.

Job Skills: Fluent in English Medical Billing Customer Service Typing Speed
Job Type: Full-time
Pay: Rs50,000.00 - Rs70,000.00 per month