Medical Biller
صاحب العمل نشط
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكتروني
شارك هذه الوظيفة
حالة تأهب وظيفة
سيتم تحديثك بأحدث تنبيهات الوظائف عبر البريد الإلكتروني
الوصف الوظيفي
Experience: 2 Years
Location: QATAR (Local Candidates Preferred)
KEY ROLE ACCOUNTABILITIES
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Releases completed claims for submission.
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Requests additional information from clinical areas in response to claims denials or inquiries by insurance
providers.
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Prepares and processes claims based on claims work lists for submission to insurance providers or TPAs.
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Verifies claims for accuracy and completeness of information.
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Communicates with clinical areas to resolve any claim edits issues.
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Ensures that claim formats concur with insurance provider requirements.
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Prepares clean claims for electronic and/or manual submission.
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Accesses Cerner Charge Services to produce and submit claims.
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Follows up on submitted claims to ensure timely payment processing.
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Contacts insurance providers or TPAs on as needed basis.
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Identifies unpaid and partially paid claims and takes the necessary steps for appeal or resubmission.
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Processes claim re-submission as required.
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Posts insurance payments on the system.
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Refers patient related liabilities to the AR Section for processing.
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Escalates unresolved claims related issues to the Supervisor - Patient Billing and Revenue Reconciliation
for further action.
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Documents events and interactions using electronic and manual systems.
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Maintains billing records in accordance with internal standards.
Mandatory Requirement:
2 years’ of experience in medical billing using an electronic billing and insurance system
Preferred Certification: Medical billing certificate or other Revenue Cycle Certificate
نوع التوظيف
دوام كامل
