Claims Officer (160752)
Information
Administration | |
Mid Career (2-6 years) | |
Not specified |
Company
Not specified | |
Healthcare, other | |
New Cairo, Cairo, Egypt |
Description
- Review all lab requisitions with patients and doctor’s offices to determine accuracy with ICD-9 and CPT codes.
- Research (ICD) and CPT Current Procedure Terminology codes to obtain maximum reimbursement.
- Review ICD-10/CPT coding to ensured proper billing on EMR.
- Estimate the patient’s financial responsibility after verifying their benefits.
- Performed monthly re-certification for expiring authorizations to ensure patient demographics, insurance information, verification and eligibility are current.
- Maintained audit system according to policy and procedures to assure completeness, accuracy, and internal consistency.
- Mitigate risk for any billing Issues and potential reimbursements, research and resubmit denied claims.
- Update all unpaid claims to insurance plan.
- Verify approvals for insurance patients through online website portals.
- Observe strict confidentiality and safeguarded all patient-related information
- Organize and led weekly personnel meetings with team members.
- Coordinate compliance program (creation of office manual, policies and required forms).
- Complete authorization and per-certification for medical treatment for patients who need special CPT codes approvals.
Requirements
- Bachelor degree of Pharmacy or any related major from a reputable university.
- 3-5 years of relevant experience within insurance and/or healthcare industries
- Knowledge of medical terminology and ICD-10
- Excellent communication skills
- Fluent in English
Created on | 02 Jun 2021 |
Last updated on | 15 Nov 2021 |