Job Title: Team Lead
Job Type: Full Time/Permanent
Gender: Male
Timings: Timing (8:30 AM - 5:30 PM) US Eastern Standard Time
Location: Rawalpindi (Near Rehmanabad Metro Station)
Company Overview
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
. Billing candidate must have following speciality billing knowledge
1. Internal Medicine
2. Family Medicine
3. Endocrinology
4. Psychiatry Billing
· 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
· 4-5 years prior Experience in Medical Billing
· Prior experience as Team Lead/ Back-up Team Lead is mandatory
· Managing the overall team issues and supervision of team members
· 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