Medical Billing Specialist

Timings:6:00pm - 3:00am

Department: Medical Billing

Location:Plot # 176, Korang Road, near Rahat Bakers, I-10/3, Islamabad

RHB is a subsidiary of IKONIC Solution

Reliable Healthcare Billing ( RHB ) stands as a dynamic force within the healthcare sector, committed to optimizing revenue cycles and reshaping the financial landscape for healthcare providers. Our mission is to equip healthcare organizations with state-of-the-art technology and profound industry knowledge, providing inventive billing solutions that enhance profitability, streamline operations, and ensure sustained financial well-being.With an unwavering dedication to excellence, RHB has emerged as a reliable partner for healthcare providers navigating the intricate financial challenges of the industry. We take pride in our capacity to deliver tailored, results-oriented solutions that adapt to the ever-changing healthcare landscape.

Our team is driven by a passion to redefine the future of healthcare finance, and we're here to support healthcare providers in thriving amid an increasingly competitive environment. Join us in redefining success in healthcare finance and charting a path toward financial prosperity

• Degree(s)/Major(s): Bachelor's degree in healthcare administration or related field preferred.
  

  
  

• Certification(s): Certification with Medicine/medical/health care will be preferred.
  

  
  

• 2 years of experience with RCM in Medical billing and RCM Softwares.
  

  
  

• Proficiency in spoken English Native and Bilingual is a must. 
  

  
  

Responsibilities:

• Ensure the accuracy of patient demographic and insurance details prior to claim submission, meticulously reviewing and verifying information.
  
• Prepare and submit claims electronically or via paper format to insurance companies, adhering to procedural guidelines for payment processing.
  
• Should be experienced in obtaining authorization from insurance companies.
  
• Diligently follow up on denied or rejected claims, investigating discrepancies and resolving issues to facilitate timely resubmission.
  
• Analyze and interpret insurance Explanation of Benefits (EOBs), promptly identifying and rectifying payment disparities for optimal reimbursement.
  
• Accurately process patient payments, adjustments, and refunds within the billing system, maintaining meticulous financial records.
  
• Provide prompt, professional responses to inquiries from patients, insurance entities, and healthcare providers concerning billing and coding inquiries.
  
• Stay abreast of evolving billing guidelines, reimbursement protocols, and regulatory mandates within the medical billing domain.
  
• Collaborate effectively with interdisciplinary healthcare professionals, including physicians, nurses, and administrative staff, to resolve billing and coding complexities.
  
• Actively engage in team meetings and educational sessions to remain informed of emerging trends and regulatory updates in medical billing and coding practices.
  
• Uphold strict patient confidentiality standards and ensure compliance with HIPAA regulations in all aspects of handling patient information.
  

• Demonstrated experience of 2 years in medical billing, encompassing claim submission, payment posting, follow-ups, eligibility checks, and denial management.