Medical Billing AR Executive (Follow Up Member)
Preffered MB, Pakistan

• Experience in Out Of Network (PIP, Worker Comp. )
• Negotiations with adjusters
• Check eligibility and benefits verification.
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes.
• Updates cash spreadsheet, runs collection reports.

• Knowledge, Skills, and Abilities
• Knowledge of HIPA/OSHA, Medicare, Medicaid, and other payer requirements and systems.
• Use of computer systems
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Able to work in a team environment.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Preferably have knowledge of working on different billing software's especially MediTouch (HealthFusion) and Intergy

Job Rewards and Benefits