EPS BILLING ASSISTANT

Description

Job Summary: EPS Agreement Billing Specialist responsible for registering, validating, and managing medical services provided to EPS patients, ensuring accurate billing, follow-up, and reconciliation with EPS. Key Responsibilities: 1. Manages monthly billing and claim recovery from EPS 2. Coordinates with various departments to resolve billing observations 3. Handles hospital billing systems and knowledge of EPS agreements **Job Description:** A clinic is seeking an EPS Agreement 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 formats required by each EPS. * Support internal and external audits. * Prepare reports on EPS production, billing, and collections. 4\. Job Requirements Academic Qualifications Technical or university degree in: Administration, Accounting, Health Services Management, or related fields Experience * Minimum **1 to 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 tariffs, packages, medical codes, and nomenclatures. * Intermediate-level Excel skills * Basic understanding of health regulations and medical auditing. Working Hours: Monday to Friday: 8:30 AM to 7:00 PM; Saturdays: 8:30 AM to 7:00 PM Location: Lince Employment Type: Full-time Work Modality: On-site employment Salary: S/.1,300.00 \- S/.1,500.00 per month Work Location: On-site employment