Patient & Insurance Account Receivable Representative Medical Billing USA

Citadel Healthcare Management (PVT) LTD. provides healthcare management services for practices across North America. Our dedicated team supports a wide range of medical administration tasks, working collaboratively across multiple disciplines.

Our mission is to offer employees meaningful opportunities to apply their expertise, grow in their careers, and contribute to the organization’s ongoing success.

We are committed to creating a workplace where employees feel valued, supported, and motivated. By fostering a collaborative and engaging environment, we ensure that every contribution is recognized and appreciated.

At Citadel, diversity and inclusion are at the heart of our culture. We welcome individuals from all backgrounds—regardless of gender, ethnicity, age, religion, lifestyle, or disability—and embrace the unique perspectives and experiences they bring. Through teamwork, innovation, and continuous professional development, we empower our employees to thrive and drive progress within the organization.

• Collect, post, and manage patient account payments. 
• Submit claims to insurance.
• Prepare and review patient statements. 
• Review delinquent accounts and call for collection purposes. 
• Process payments from insurance companies. 
• Maintain strict confidentiality. 
• Code patient services and enter into the computer.
• Sort and file paperwork. 
• Ensure healthcare facilities are reimbursed for all procedures. 
• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
• Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS. 
• Use computers to read and organize charts.
• Follow up to see if a claim is accepted or denied. 
• Investigate rejected claims to see why denial was issued. 
• Investigate insurance fraud and report if found
• Maintaining Medical Bills of the Patients online on the Medical Billing Software
• Direct conversation with the Health Insurance Companies to Collect the Patients Insurance Detail.
• Verify all demographic and insurance information in patient registration of the practice management system at the  time of charge entry to ensure accuracy.
• Timely and error free medical bills entry into the practice management system in accordance with the practice(s) 
• protocols with an emphasis on accuracy to ensure timely reimbursement.
• Post all insurance payments into the practice management system in accordance with the practice(s) protocols with an emphasis on accuracy.
• Clearing house rejections need to be rectified in a timely manner.
• File all charge, payment and adjustment batches in the appropriate format by batch date for quick reference.
• Ensuring client satisfaction by an effective and regular follow-up on all outstanding claims to maximize the collection of practice. Ensure the quality of service, timeliness and accuracy in the entire billing cycle.
• Swift and accurate remedial actions on claims denied by healthcare insurances.
• Independent and timely communication with insurances to ensure steady stream of clients’ cash flow.
• Understanding of relevant Key Performance Indicators (KPIs) and working towards positive results for the assigned clients against all KPIs. Maintaining patient confidentiality and information security.
• Keeping the immediate supervisor aware of all-important issues of assigned clients. Perform additional duties as requested by the Supervisory or Management team.