Qureos Mentor

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Work shift: Night shift from 6 pm to 3 amWork Location: Shahrah e Faisal, KarachiEducation: BachelorsExperience: 1+ years in Eligibility, Benefits, and Prior Authorization under any Medical Billing company.Benefits:Dinner, OPD 8%, EOBI, PF 8% and Saturday/Sunday off.Job Description:Verification of Insurance Information (Provided by Practice Front Office / Client):Provide Verified insurance information.Use the patient's insurance card to gather necessary details like insurance company name, policy number, group number, and subscriber information with procedure DetailsInsurance Eligibility Check:&middot; Utilize an eligibility verification system or software provided by insurance companies or third-party vendors.&middot; Input the patient's insurance information into the system.User Should Collect: Verify the patient's coverage details, including:&middot; Coverage status (active/inactive)&middot; Effective date of coverage&middot; Coverage type (e.g., HMO, PPO)&middot; Co-payments, deductibles, and coinsurance amountsUser Should add Data in Spreadsheet:&Oslash; Patient Name (Last, First)&Oslash; DOB&Oslash; Provider Name&Oslash; Network Status&Oslash; Auth Req Y/N&Oslash; If required, Escalate and ref Case #. In notes.&Oslash; Referral Req Y/N&Oslash; Ded Amount&Oslash; Ded Remaining&Oslash; Co-insurance&Oslash; Out of Pocket Remaining&Oslash; Pri. Ins&Oslash; Eff DateUser should Collect from Practice Management:&Oslash; Self-Pay (NP) - Y/N&Oslash; Self-Pay (Est) - Y/N&Oslash; Previous Patient Balance&Oslash; Insurance Balance&Oslash; Balance to Collect&Oslash; NotesCoverage limits or restrictions&middot; Ensure the system provides real-time information whenever possible.Verification Review and Resolution:&middot; Review the eligibility results thoroughly for accuracy and completeness.&middot; Resolve any discrepancies or issues identified during the verification process from Availity &amp; PM&middot; Contact the patient or insurance company for clarification if needed.Documentation:&middot; Document the results of the eligibility verification process in the patient's EHR.&middot; Include details such as the date of verification, verification status, and any notes regarding discrepancies or follow-up actions.Job Type: Full-timeApplication Question(s):<ul><li>Do you have a bachelor's Degree?</li><li>Can you speak English fluently?</li><li>How much experience do you have in Eligibility, Prior Authorization and Benefits?</li><li>Please mention you current and expected salary in USD?</li></ul>Work Location: In person

Eligibility, Benefits and Prior Authorization Specialist

Job Timing: 06:00 PM To 03:00 AMJob Location: Karachi Shahrah e FaisalJob DescriptionPMBC are US based Medical Billing Revenue Cycle Management Company. We are looking for enthusiastic and experienced Medical Billing Professionals with experience of working with US based Medical Billing Companies.Prospect should have experience in Billing , AR , Denial Management , Appeals , Good Excel and reporting skills.The Candidates should be meet the following Criteria in order to qualify for the job :<ul><li>Working on CPT/ICD coding</li><li>Review patient bills for accuracy and completeness and obtain any missing information</li><li>Knowledge of insurance guidelines especially Medicare and state Medicaid</li><li>Follow up on unpaid claims within standard billing cycle timeframe</li><li>Check each insurance payment is for accuracy and compliance with contract discount</li><li>Call insurance companies regarding any discrepancy in payments if necessary</li><li>Identify and bill secondary or tertiary insurances</li><li>All accounts are to be reviewed for insurance or patient follow-up</li><li>Answer patient or insurance telephone inquiries pertaining to assigned accounts.</li><li>To Communicate Effectively with Team and Clients.</li><li>To perform the Account Receivables, Denial Management, Appeal Management.</li><li>To maintain the protocols and documentation of each performed task.</li><li>Any other task as assigned by the management.</li><li>Strong verbal communication skills (English).</li></ul>Job Specification:<ul><li>Excellent working knowledge of EHR's &amp; Medical Billing Software's like CureMD , Kareo, Practice Fusion, MS Office, Web Fax (Metro Fax), Encoder pro, Payer Portals and other related tools and software&rsquo;s.</li><li>Good knowledge of Medical Billing and Coding</li><li>Denial management and Appeal</li><li>Authorization (Pre, Post, and Retro)</li><li>Research and Management Reporting</li><li>Must be a good team player</li><li>Strong verbal (English) and written communication (Good Typing speed).</li></ul>PMBC provide a great career path and our employee are compensated with competitive compensation commensurate with their experience , Please let us know if you are in market to work as a Senior A/R Medical Billing Specialist . We prefer prospects seeking full time employment.Experience:3 - 5 yearsJob Rewards and Benefits<ul><li>Paid Leaves</li><li>Medical</li><li>EOBI</li><li>Saturday and Sunday Off</li><li>Complementary Food (Dinner)</li></ul>Job Type: Full-timeApplication Question(s):<ul><li>Do you have a degree? Please name it.</li><li>How much experience do you have in AR and billing?</li><li>Can you work in night shift?</li><li>Can you communicate in English?</li><li>Please tell us your current and expected salary.</li></ul>Work Location: In person

AR Executive Karachi

Join Premier MBC 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.

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Eligibility, Benefits and Prior Authorization Specialist

AR Executive Karachi