Medical Biller

Management Solutions International MSI; Doha; On-site; QAR 200,000 - 400,000; Full time

Job summary

A healthcare management firm is seeking a Medical Billing Specialist with over 2 years of experience in electronic billing systems. The role involves preparing claims, communicating with insurance providers, and ensuring accurate submission of claims. A medical billing certification is preferred. Local candidates in Qatar are strongly encouraged to apply.

Qualifications

• 2+ years of experience in medical billing using an electronic billing and insurance system.
• Experience with Cerner Charge Services preferred.

Responsibilities

• Release completed claims for submission.
• Prepare and process claims based on claims work lists.
• Communicate with clinical areas to resolve claim edits issues.

Skills

Medical Billing Experience

Claim Processing

Insurance Communication

Attention to Detail

Education

Medical billing certificate or other Revenue Cycle Certificate

Job description

Experience : 2+ Years

Location : QATAR (Local Candidates Preferred)

Mandatory Requirement :

2+ years’ of experience in medical billing using an electronic billing and insurance system

KEY ROLE ACCOUNTABILITIES

• Releases completed claims for submission.
• Requests additional information from clinical areas in response to claims denials or inquiries by insurance providers.
• Prepares and processes claims based on claims work lists for submission to insurance providers or TPAs.
• Verifies claims for accuracy and completeness of information.
• Communicates with clinical areas to resolve any claim edits issues.
• Ensures that claim formats conform to insurance provider requirements.
• Prepares clean claims for electronic and/or manual submission.
• Accesses Cerner Charge Services to produce and submit claims.
• Follows up on submitted claims to ensure timely payment processing.
• Contacts insurance providers or TPAs as needed.
• Identifies unpaid and partially paid claims and takes necessary steps for appeal or resubmission.
• Processes claim re-submission as required.
• Posts insurance payments on the system.
• Refers patient-related liabilities to the AR Section for processing.
• Escalates unresolved claims-related issues to the Supervisor - Patient Billing and Revenue Reconciliation for further action.
• Documents events and interactions using electronic and manual systems.
• Maintains billing records in accordance with internal standards.

Preferred Certification : Medical billing certificate or other Revenue Cycle Certificate