Credentialing Associate
Join our dynamic Medical Billing team as an Insurance Verification Associate at our Wapda Town, Lahore office. If you have strong communication skills and a background in handling insurance denials, patient queries, and billing tasks, this role offers a great opportunity to grow in a fast-paced healthcare environment.
Department: Medical Billing
Project Location(s): Onsite at Wapda Town, Lahore
Education: Bachelor Degree
Compensation: 50k - 80k
Responsibilities
- Verifying patient benefits through insurance portals and phone calls, and documenting findings in eCW.
- Completing and uploading new patient verification forms.
- Calculating patient out-of-pocket costs based on their insurance plans.
- Dedicating two hours daily to managing add-on appointments.
- Assigning and overseeing patient collection tasks for past-due balances.
- Contacting patients to obtain missing insurance details and documenting all interactions.
- Securing and documenting prior authorizations for uncovered services.
- Ensuring Medicaid compliance by marking “Don’t Send a Statement.”
- Reporting errors, new insurance plans, and provider network issues.
- Managing out-of-network cases and escalating them to the patient service team.
- Following up on missing intake forms with the practice manager.
Securing prior authorizations for psychological testing and updating billing alerts. - Collaborating with the team to resolve verification issues.
Attending regular meetings with the billing manager to review and improve processes.
Skills/Experience
- Strong English Communication Skills
- 6months-1 year experience in Medical Billing
- Hands on expereince on ECW is plus
- Previous experience is Mental or Behavioral health is plus
- Willing to work in night Shift
- Personal accountability and strong work ethic
- Must Aware of HIPAA protocols
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