Credentialing Executive / Billing Specialist

Location: Islamabad
Company Name: JMA Global Communications

Job Description

A rapidly growing multinational Healthcare IT Company located in Rawalpindi is expanding its business and seeking experienced applicants with strong Billing background as per below mentioned requirements.

Job Description

• Good understanding of insurance procedures and guidelines
• Reviewing claim accuracy prior to claim Scrubbing and Submission
• Analysis and resolution of denied claims/cases. Identify and resolve billing issues
• Benefits / Eligibility, Medical Coding & Basic Demographic Verification
• Quality & AR Analyst, Denial management, AR Specialist and AR Follow Up
• Payment Postings, reimbursement & collection analysis and reporting
• To ensure quality, timeless and accuracy in entire billing process
• Develop and manage to KPIs and dashboards for increasing client satisfaction, outcomes and retention.
• Standardization of processes and workflows for efficient and optimized delivery of service that meets the customer expectations in cost effective manner.
• Develop short and long term business and delivery models that give insights and predictability into key cost contributors.

Requirements

• 1-2 years prior Experience in US Medical Credential
• Minimum Bachelor’s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related
• Excellent in English communication skills both verbal & written, spoken English in American pronunciation is desired
• Good Command over Excel, word and health industry related software tools
• Excellent Organizational, Analytical skills and able to adapt to changing situations
• Proven Knowledge of basic medical terminologies such as coding-ICD10, CPT & HCPC
• Experienced in Managing the Overall Revenue Cycle
• Knowledge about Data Conversion and EMR implementation
• Knowledge about enrollment & credentialing and EDI & ERA/EFT setup

Job Type: Full-time

Salary: Rs30,000.00 to Rs50,000.00 /month

Experience:

• Medical Credentialing: 1 year (Preferred)

Education:

• Bachelor's (Preferred)

Language:

• English (Preferred)