Credentialing Executive Vacancy In Pmtac Pvt Ltd

Hiring Organization / Company: Pmtac Pvt Ltd
Basic Salary: To Be Discussed
Employement Type: Full-Time





Job Details:

  • Good understanding of insurance procedures and guidelines
  • Reviewing claim accuracy prior to claim Scrubbing and Submission
  • Analysis and resolution of denied claims/cases. Identify and resolve billing issues
  • Benefits / Eligibility, Medical Coding & Basic Demographic Verification
  • Quality & AR Analyst, Denial management, AR Specialist and AR Follow Up
  • Payment Postings, reimbursement & collection analysis and reporting
  • To ensure quality, timeless and accuracy in entire billing process
  • Develop and manage to KPIs and dashboards for increasing client satisfaction, outcomes and retention.
  • Standardization of processes and workflows for efficient and optimized delivery of service that meets the customer expectations in cost effective manner.
  • Develop short and long term business and delivery models that give insights and predictability into key cost contributors.

Requirements

  • 1 years prior Experience in US Medical Credential
  • Minimum Bachelor’s Degree in Commerce/Finance/Arts/ Pharmacy/ Microbiology or related
  • Excellent in English communication skills both verbal & written, spoken English in American pronunciation is desired
  • Good Command over Excel, word and health industry related software tools
  • Excellent Organizational, Analytical skills and able to adapt to changing situations
  • Proven Knowledge of basic medical terminologies such as coding-ICD10, CPT & HCPC
  • Experienced in Managing the Overall Revenue Cycle
  • Knowledge about Data Conversion and EMR implementation
  • Knowledge about enrollment & credentialing and EDI & ERA/EFT setup

Job Type: Full-time

Salary: Rs30,000.00 - Rs35,000.00 per month

Education:

  • Bachelor's (Preferred)

Experience:

  • Credentialing: 1 year (Preferred)

Work Remotely:

  • No





Job Location Information:
City: Rawalpindi
State: Ppb
Country: Pk
Location: Rawalpindi
Job Listing No# : 43518

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