EPS INSURANCE BILLING SPECIALIST

Description

Position Summary: We are seeking an EPS Insurance Billing Specialist to manage the registration, preparation, and submission of medical billing, as well as payment tracking and reconciliation. Key Responsibilities: 1. Manages monthly billing to EPS and coordinates its submission. 2. Handles claim denials, observations, and re-billing with various departments. 3. Requires experience in EPS insurance billing and hospital information systems. The clinic is seeking an EPS Insurance Billing Specialist. **Main Responsibilities** * Register and validate medical services provided to EPS patients. * Prepare and submit **monthly billing** to EPS entities according to current agreements. * Verify coverage, deductibles, co-payments, and exclusions. SITEDS * Review clinical records, physician orders, and supporting documentation for billing purposes. * Manage **claim denials, observations, and re-billing**. * Coordinate with admissions, physicians, nursing, and pharmacy to resolve observations. * Track account statements, payments, and reconciliations. * Maintain updated physical and digital EPS patient files. * Comply with deadlines and formatting requirements mandated by each EPS entity. * Support internal and external audits. * Prepare reports on EPS production, billing, and collections. **4. Position Requirements** **Academic Qualifications** Technical or university degree in: Administration, Accounting, Health Services Management, or related fields. **Experience** * Minimum **1–2 years** of experience in **EPS insurance billing** within clinics or hospitals. * Experience handling claim denials and billing recovery. **Technical Knowledge** * Familiarity with **EPS agreements** (e.g., Pacífico, Rímac, MAPFRE, La Positiva, among others). * Proficiency in hospital and EPS billing systems. * Knowledge of medical fee schedules, packages, codes, and nomenclatures. * Intermediate-level Excel proficiency. * Basic knowledge of health regulations and medical auditing. **Working Hours:** **Monday to Friday: 8:30 AM to 7:00 PM; Saturday: 8:30 AM to 7:00 PM** **Location: Lince** Employment Type: Full-time Salary: S/.1,400.00 \- S/.1,600.00 per month Workplace: On-site employment