Cedar Gate Services

Billing Specialist

Cedar Gate Services

Billing Specialist

Cedar Gate Services Pvt. Ltd (Formerly Deerwalk Services Pvt. Ltd)  is a leading software company in Kathmandu, Nepal, providing software development, software testing, data analytics, IT infrastructure and business process support services to its parent company in the United States. For more information,
visit: https://cedargate.com/

Billing Specialist

Views: 2656 | Apply Before: 4 hours from now

Basic Job Information

Job Category : General Mgmt. / Administration / Operations
Job Level : Mid Level
No. of Vacancy/s : [ 1 ]
Employment Type : Full Time
Job Location : Kathmandu, Nepal
Offered Salary : Negotiable
Apply Before(Deadline) : Dec. 08, 2022 23:55 (4 hours from now)

Job Specification

Education Level : Bachelor
Experience Required : More than or equals to 1 year
Other Specification
  • Bachelor’s degree in any field
  • Ability and willingness to work during the night shift
  • Computer experience including good working knowledge of the Microsoft Office Suite and internet
  • Experience with alpha-numeric data entry
  • Strong English language written and verbal communication skills
  • Strong analytical and problem-solving skills
  • Excellent organizational and time management skills
  • Ability to perform assigned tasks independently
  • Ability to prioritize and multitask to meet deadlines
  • Ability to develop productive working relationships in a team environment

Job Description

Cedar Gate Services is looking for a Billing Specialist to join our support department.

Job Summary:

The Billing Specialist ensures accurate and timely intake of healthcare provider medical claims, and the associated submission of organization claims to various payers while maintaining knowledge of billing protocols for areas of responsibility. [Extensive training will be provided for this entry-level position, and candidates without any experience are also encouraged to apply. This position requires working in the night.]

Responsibilities:

  • Ensures the efficient filing of medical claims to payers for reimbursement with appropriate documentation as necessary.
  • Keys in paper claims received from provider offices to be filed electronically.
  • Reports claim filing activity to management.
  • Maintains knowledge of contract guidelines related to packaging of services for proper billing to payers.
  • Provides coverage for all essential billing function activities such as data entry, claim filing, claim auditing, and cross-training on package protocols per assignment.
  • Investigates and documents patient encounter details related to the packaging of services.
  • Identifies and corrects or pends claim discrepancies and claims with missing or invalid information according to established protocols for investigation and resolution.
  • Documents and reports abnormal claim filing occurrences and provider office trends per department protocol.
  • Demonstrates understanding of all essential components of claim forms and formats.
  • Meets all department accuracy and productivity standards.
  • Maintains appropriate records for area(s) of responsibility.
  • Maintains confidentiality of all information in accordance with HIPAA. 
  • Maintains company confidentiality.
  • Attends all regular staff meetings.
  • Participates in continuing training to keep current on area of specialty.
  • Works overtime as needed.


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