BPO Operations Executive- Medical Billing

Job Description

Deline Media is a leading BPO provider in Lahore with our off-shore office based in New York, USA. We provide Customer Service & Operational Support to clients in the US working in various domains. We are looking for dynamic individuals to join our Medical Billing Team. Below are the details.

Duties and Responsibilities :

• Collect on delinquent accounts and aggressively work the aging receivables for both patient and insurance balances
• Resubmit charges for reprocessing, i.e., provide supporting documentation for medical necessity and / or take corrective action for resubmission
• Appeal outstanding denials issued by the insurance carrier
• Retrieve explanation of benefits from payer portals to reconcile deposits and post both payer and patient payments expeditiously
• Proactively communicate identified denial trends
• Responsible for charge and payment entry within Electronic Health Records.
• Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account / claim adjudication
• Responsible for correcting, completing, and processing claims.
• Perform follow-up with insurance companies on unpaid insurance accounts identified through aging reports
• Managing communication and coordination with internal departments.
• Handling all channels efficiently (Calls, Emails, Chats & Faxes).
• Maintain the protocols and documentation of each performed task.
• Performs miscellaneous job-related duties as assigned.

Requirements :

Why Join Us?

Perks & Benefits :

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