Senior A/R Specialist
Arthur Lawrence
مجموع سنوات الخبرة :10 years, 1 أشهر
Responsible for the processing accounts, managing the records information, billing etc.
Maintained the accounts, pending medical record, injury account, compensation etc.
Responsible for communicating with the insurance companies for the payment of the claims.
Answer the patient's queries, problem and complaints and also identify the solutions.
Screened and approved the accounts to be processed to the agencies.
Manages the pending accounts for billing.
Responsible for the assisting the medical and Medicare collector with secondary billing data and correspondence.
Other Managing Aspects include:
Insurance Verification
Pre-Authorization
Benefits Determination and Financial Counseling of Patients before service is rendered
EOB posting
• Claim Follow Up and Denial Management
• Insurance AR management
• Patient AR Management
• Reporting and analysis of key metrics of billing and AR performance
• Constant analysis and revision as necessary of billing processes and procedures to improve performance, both within
our software systems and in our work flow
Proficiency in understanding EOBs, Coordination of Benefits, and managing patient financial counseling for services
• Ability to write, implement and manage policies and procedures for best practices in billing
• Experience with complex medical billing software and EMRs and submitting electronic claims
• Ability to lead a team of billers and provide training and professional development for staff
• Ability to strategically manage and analyze AR and billing activity and consistently report to senior management.
• Working various payer accounts receivable reports Initiating account follow up.
• Ensure resolution of billing issues preparing and submitting appeals.
• Working with payers for an expedient and sufficient resolution.
• Ensures accurate billing of services in a timely and accurate manner.
Karachi
•Define strategy for and develop, execute, and manage comprehensive marketing plan encompassing integrated marketing initiatives designed to penetrate and grow targeted markets. Communicate with customers, management, internal departments, to coordinate overall marketing effort in accordance with corporate goals. Plan and carry out regional market research and analyses. Play integral role in product development activities.
to Lab Supervisor and responsible for all documentation done in laboratory. Preparing in-patient and out-patient reports. Keeping doctors updated with the patients status on phone calls. Monitoring monthly laboratory goods and preparing requisition. Also give test details to patients over the phone and deal directly with Agha Khan Hospital and other laboratories
To create medical claim and for US insurance companies and submit them
Electronically through different clearing house.
. Review patient bills for accuracy and completeness and obtain any missing information
. Knowledge of insurance guidelines especially Medicare and state Medicaid
. Follow up on unpaid claims within standard billing cycle timeframe
. Check each insurance payment is 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
Computer Science 2005