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eServMD Pvt. Ltd.

eServMD Pvt Ltd is a service provider company based in Islamabad Pakistan providing services to US-based companies and clients in the field of Electronic Medical Records (EMR), Medical Practice Management, Medical Billing, Real Estate, Accounts &amp; Finance.We are seeking experienced and detail-oriented Credentialing Executive to join our team.Primary Responsibilities:<ul><li>Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications</li><li>Maintain internal provider grid to ensure all information is accurate and logins are available</li><li>Update each provider&rsquo;s CAQH database file timely according to the schedule published by CMS</li><li>Help medical providers to apply or renewal of medical professional licenses; DEA and Controlled Substance etc.</li><li>Complete revalidation requests issued by government payers</li><li>Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid Complete re-credentialing applications for commercial payers</li><li>Work closely with the Revenue Cycle Director and billing staff to identify and resolve any denials or authorization issues related to provider credentialing</li><li>Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases</li></ul>Requirements<ul><li>1-2 years prior Experience in US Medical Credential</li><li>Minimum Bachelor&rsquo;s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related</li><li>Excellent in English communication skills both verbal &amp; written, spoken English in American pronunciation is desired</li><li>Good Command over Excel, word and health industry related software tools</li><li>Excellent Organizational, Analytical skills and able to adapt to changing situations</li><li>Proven Knowledge of basic medical terminologies such as coding-ICD10, CPT &amp; HCPC</li><li>Experienced in Managing the Overall Revenue Cycle</li><li>Knowledge about Data Conversion and EMR implementation</li><li>Knowledge about enrollment &amp; credentialing and EDI &amp; ERA/EFT setup</li></ul>Job Timings: 5:00 PM to 2:00 AMJob Type: Full-timeAbility to commute/relocate:Job Type: Full-timeWork Location: In person

Sr. Credentialing Executive

eServMD Pvt Ltd is a service provider company based in Islamabad Pakistan providing services to US-based companies and clients in the field of Electronic Medical Records (EMR), Medical Practice Management, Medical Billing, Real Estate, Accounts &amp; Finance.We are seeking experienced and detail-oriented A/R Specialists to join our team.Responsibilities:<ul><li>Work on CPT/ICD coding to ensure accurate and compliant billing practices.</li><li>Review patient bills for accuracy, completeness, and obtain any missing information.</li><li>Knowledge of insurance guidelines, especially Medicare and state Medicaid, to ensure proper billing procedures.</li><li>Follow up on unpaid claims within the standard billing cycle timeframe.</li><li>Check each insurance payment for accuracy and compliance with contract discounts.</li><li>Contact insurance companies regarding any discrepancies in payments, if necessary.</li><li>Identify and bill secondary or tertiary insurances.</li><li>Review all accounts for insurance or patient follow-up.</li><li>Answer patient or insurance telephone inquiries related to assigned accounts.</li><li>Communicate effectively with team members and clients.</li><li>Perform account receivables, denial management, and appeal management.</li><li>Maintain protocols and documentation for each performed task.</li><li>Assist with any other tasks as assigned by management.</li><li>Maintain strong verbal communication skills in English.</li></ul>Job Specification:<ul><li>Minimum 1-3 years of experience in Medical Billing.</li><li>Excellent working knowledge of EHRs and medical billing software such as CureMD, Kareo, ECW, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals, and other related tools and software.</li><li>Strong knowledge of medical billing and coding practices.</li><li>Experience in denial management and appeals.</li><li>Proficient in handling authorization processes (pre, post, and retro).</li><li>Ability to conduct research and generate management reports.</li><li>Must be a team player and collaborate effectively with colleagues.</li><li>Strong verbal and written communication skills in English, including good typing speed.</li><li>Familiarity with infrastructure as code of conduct.</li><li>Excellent problem-solving and troubleshooting skills.</li><li>Experience in accounts receivable follow-up.</li><li>Denial management experience for multi-specialty groups.</li><li>Ability to handle insurance calling and retrieval of EOBs.</li><li>Efficient and fluent communication with external entities.</li><li>Familiarity with insurance account receivable processes.</li></ul>Job Type: Full-timeJob Type: Full-timeWork Location: In person

Medical Billing A/R Specialist

Join eServMD Pvt. Ltd. and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

eServMD Pvt. Ltd.

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Sr. Credentialing Executive

Medical Billing A/R Specialist