Credentialing Executive  
PMTAC Pvt Ltd   More jobs from this company

  Email this job
Job Details Back to Job Listing
 
Job Title:   Credentialing Executive
Category:   Client Services
Total Positions:   2
Job Location:   Rawalpindi
Gender:   Male
Minimum Education:   Bachelors
Degree Title:   Commerce/Finance/Arts/ Pharmacy/ Microbiology
Career Level:   Experienced Professional
Minimum Experience:   2 Years
Apply By:   Nov 14, 2021
     
     
 
Job Description:

A rapidly growing multinational Healthcare IT Company located in Rawalpindi is expanding its business and seeking experienced applicants with strong Billing background as per below mentioned requirements.

Job Description

  • 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

  • 2 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

Company Information
 
Company Name:  PMTAC Pvt Ltd
Company Description:
PMTAC is a growing multinational software and healthcare IT company. The company has established its setup in a short span of a few years, which lays the foundations for productivity. PMTAC is following a formula of long-term growth by utilizing labor force increase, investment activity, scientific and technological progress. PMTAC clients are Healthcare and Medical Practices that do not wish to expend the time or resources on performing in-house billing. PMTAC offers healthcare providers unrivaled medical billing and healthcare software support. We offer services that maximize the power of technology to give healthcare providers better control over scheduling and billing, total access to all of their billing information and comprehensive practice-management reports while reducing the all-important cost factor. Providing qualitative and quantitative services to our clients.

Copyright 2021, University of Karachi. All Rights Reserved