Head of insurance Department
Planet Medical Center
Total years of experience :12 years, 2 Months
- Contracting with all insurance companies.
- Expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified health care providers in the office or facility setting.
- Answers queries and coordinates with the Head of Finance and Accounting, Operational director and Medical Director for necessary clarifications for billing and reconciliation purposes
- Training and answering all queries from doctors relating to insurance policies.
- Random checking of patient files on a daily basis to ensure rectification of any missing data.
- A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement - allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture
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- Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine.
- Attends all insurance companies meetings
- Understanding of how to integrate medical coding and payment policy changes into a practice’s reimbursement processes.
- Create Reconciliation for all insurance companies.
- Achieve zero rejected in most of the months and the maximum amount of rejection is 2.2%. See less
- Contracting with some of insurance companies.
- Accepting insurance patient from reception area checking elegiblty and claim processing.
- Check completeness of all claims .
- Answers queries and coordinates with the Head of Finance and Accounting, Operational director and medical director for necessary clarifications for billing and reconciliation purposes
- Training and answering all queries from doctors relating to insurance policies.
- Random checking of patient files on a daily basis to ensure rectification of any missing data.
- Is the coordinator of all insurance companies
- Coordinate between all department.
- Attends all insurance companies meetings.
- Follow up payment details in insurance companies.
- Create Reconciliation for all insurance companies.
- Achieve zero rejected in most of months and maximum amount of rejection is 2.2%
Activities and Societies: Medical Coding Professionals - Expertise in reviewing and assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers in the office or facility setting (eg, inpatient hospital) - Proficiency across a wide range of services, including evaluation and management, anesthesia, surgery, radiology, pathology, and medicine - A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture - Understanding of how to integrate medical coding and payment policy changes into a practice’s reimbursement processes - Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services
Accountant
Concepts and terminology and expressions
G+