Insurance Billing Officer job at Lifelink Medical Centre | Apply Now

Key Responsibilities

1. Claims Preparation and Submission

   • Verify patient insurance information and eligibility before service delivery.

   • Accurately prepare and submit insurance claims using appropriate coding systems (e.g., ICD, CPT, HCPCS).

   • Ensure compliance with insurance and billing guidelines to minimize claim rejections.

2. Claims Follow-Up and Resolution

   • Track and follow up on submitted claims to ensure timely reimbursements.

   • Resolve denied or underpaid claims by communicating with insurance companies and identifying reasons for rejections.

   • Correct and resubmit claims promptly when necessary.

3. Patient and Provider Support

   • Communicate with patients regarding their insurance coverage, out-of-pocket expenses, and billing inquiries.

   • Work closely with healthcare providers to ensure accurate documentation for claims submission.

4. Reporting and Documentation

   • Maintain detailed records of submitted claims, reimbursements, and outstanding amounts.

   • Prepare monthly and quarterly reports on billing and collections for management review.

   • Conduct regular audits of billing processes to identify and address discrepancies.

5. Regulatory Compliance

   • Stay updated on insurance policies, billing regulations, and changes in coding standards.

   • Adhere to data protection laws and maintain confidentiality of patient and billing information.