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    Managed Services-BOS-Patient Accounting-Specialist - Hyderabad, India - PricewaterhouseCoopers Service Delivery Center (Bangalore) Private Limited

    PricewaterhouseCoopers Service Delivery Center (Bangalore) Private Limited
    PricewaterhouseCoopers Service Delivery Center (Bangalore) Private Limited Hyderabad, India

    3 hours ago

    PricewaterhouseCoopers Service Delivery Center (Bangalore) Private Limited background
    Full time
    Description

    Description

    1. Insurance Claim Follow-Up: Review and analyze unpaid or underpaid insurance claims. Contact insurance companies to identify reasons for denials, delays, or discrepancies in payments. Take necessary actions to resolve outstanding claims.

    2. Claims Reconciliation: Verify that payments received from insurance companies match the expected reimbursement amounts. Investigate and reconcile any discrepancies.

    3. Appeals and Resubmissions: Prepare and submit appeals for denied or underpaid claims, ensuring all required documentation is included. Monitor the progress of appeals and resubmissions.

    4. Documentation and Reporting: Maintain detailed records of all interactions and actions taken regarding accounts receivable. Generate reports on AR aging, collection efforts, and outstanding balances.

    5. Compliance: Ensure compliance with healthcare billing regulations and guidelines, including HIPAA and insurance industry standards.

    6. Team Collaboration: Collaborate with billing and coding teams to resolve billing discrepancies and coding issues that may affect reimbursement.

    7. Training and Development: Stay updated on healthcare industry billing and coding changes. Participate in training and professional development opportunities to enhance job knowledge and skills.

    Qualifications:


    • High school diploma or equivalent; some college coursework in healthcare administration or a related field is preferred.


    • Knowledge of healthcare billing and coding procedures, including CPT and ICD-10 codes.


    • Strong communication and negotiation skills, especially when dealing with insurance companies and patients.


    • Attention to detail and the ability to analyze complex billing issues.


    • Familiarity with healthcare billing software and electronic health record (EHR) systems.


    • Proficiency in using office software, such as Microsoft Excel and Word.


    • Understanding of healthcare compliance and privacy regulations, including HIPAA.


    • Previous experience in healthcare revenue cycle management or medical billing is a plus.


    • Ability to work well independently and as part of a team.

    Experience Level : 1 to 2 years

    Education

    Degrees/Field of Study required:Degrees/Field of Study preferred:

    Certifications

    Required Skills

    Optional Skills

    Desired Languages

    Travel Requirements

    Not Specified

    Available for Work Visa Sponsorship?

    No

    Government Clearance Required?

    No

    Job Posting End Date

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