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Medical Billing Associate (Eligibility Verification and Prior Authorization)

Nobility Medical Billing Service Verified

Rawalpindi , Pakistan

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Posted Apr 25, 2023 699 views

Medical Billing Associate (Eligibility Verification and Prior Authorization)

  • Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy.
  • Responsible for insurance verification processes of verifying patient eligibility, coordinating medical benefits, gaining approval for planned procedures and services, and determining patient coverage/responsibility for services to be provided.
  • Obtain, review and input insurance authorization and referrals prior to patient services, throughout treatment to maintain continuance of authorizations and utilizing knowledge of coverage-based guidelines and treatments.
  • Clearing house rejections need to be rectified in timely manner.
  • Contacting various payers as needed to verify or obtain information.
  • Ensuring client satisfaction by an effective and regular follow-up on all outstanding claims to maximize the collection of practice.
  • Swift and accurate remedial actions on claims denied by healthcare insurances.
  • Verify any secondary and tertiary medical insurance benefits.
  • Understanding of relevant Key Performance Indicators (KPIs) and working towards positive results for the assigned clients against all KPIs.
  • Monitor and track patient authorizations, obtain updated authorizations for ongoing treatment, and communicate changes to appropriate team members.
  • Verify private, government and third-party insurance information, including eligibility, out-of-pocket costs, prescription coverage and patient portions.
  • Identifies and provides accurate CPT/ICD codes where needed for reimbursement.
  • Maintaining patient confidentiality and information security.
  • Perform additional duties as requested by Supervisory or Management team.
  • Ensure the quality of service, timeliness and accuracy in the entire billing cycle.
  • Carry out routine communication with your Superiors and provide them daily updates.

Skills

Insurance Verification Eligibility Verification Medical Billing Answering Inquiries

Job Details

Industry:
Information Technology
Functional Area:
Operations
Total Positions:
10 Posts
Job Shift:
Second Shift (Afternoon)
Job Type:
Full Time/Permanent
Job Location:
Rawalpindi, Pakistan
Gender:
No Preference
Minimum Education:
Bachelors
Career Level:
Experienced Professional
Minimum Experience:
1 Year
Apply Before:
May 25, 2023
Posting Date:
Apr 25, 2023

Nobility Medical Billing Service

Information Technology · 601-1000 employees - Rawalpindi
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Nobility MBS is a subsidiary of Nobility RCM, a Scottsdale, Arizona-based company that offers leading-edge revenue cycle management solutions to medium to large healthcare organizations. Nobility RCM presents a unique value proposition by providing working capital to its clients alongside advanced RCM and back office services. Nobility MBS, which operates in Pakistan, is responsible for managing internal medical billing platforms and developing software and related technology integral to the company’s RCM solutions. Founded in 2014, Nobility RCM has business operations throughout the U.S., with primary operating sites in Arizona, Texas, Kentucky, Tennessee, Ohio and Florida. Widely recognized for pioneering the Nobility Pre-Funding solution, a guaranteed revenue model for healthcare providers, the company delivers exceptional outcomes centered on transparency, communication and reporting.

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