Medical Billing Executives

Medical Billing Executives

Tecnex Systems LLC, PakistanTECNEX Systems, LLC has embarked on the journey to bring a change in the Healthcare IT industry by providing one of the nation's most innovative Physician Clinic Business Management System with ONC-ATCB Certified EHR/PM on a single technological platform. Our aim is to provide a solution that would reduce costs, errors and improve the quality of the Healthcare organizations in the U.S.

TECNEX is a privately held organization that specializes in physician office business management system and revenue cycle management (medical billing). Its technology is unique and effective, extending the use of electronic health records beyond practice walls and creating a platform for the physicians to manage the entire business.

Job SpecificationLooking for Experience/ Fresh Resources:

Day-to-day responsibilities include:

Reviews health record documentation, super bill, computer generated reports and other reporting tools to identify all services and procedures performed by healthcare providers.

Using coded data to produce and submit claims to insurance companies.

Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.

Reviewing and appealing unpaid and denied claims.

Verifying patients' insurance coverage.

Handling collections on unpaid accounts.

Managing the facility's Accounts Receivable.

Prepares paper and electronic claims for submission to the appropriate payer.

Identifies services and procedures provided but not adequately documented in the health record.

Analyzes and resolves claim rejections and denials related to coding issues.

Identifies trends and ongoing problems related to medical documentation and recommends possible solutions.

Prepares, reviews, and sends patient statements.

Answers patient questions, identifies and resolves patient billing complaints.

Follows and reports status of delinquent accounts.

Evaluates patient financial status and establishes payment plans.

Other duties as advised by the Supervisor/Manager.

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