MB-3395 - USA (Virginia) - Medical Claims Support Services - Deadline September 13,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3395

Government Authority Located in Virginia; USA based organization looking for expert vendor for medical claims support services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide medical claims processing health services for staffing to support of medical claims processing,
- Medical claims processing system which incorporates an Internet authorization application, document processing functionality, optical character recognition (OCR) scanning capability,
- process claims that are submitted individually or multiple claims submitted concurrently (bulk claims),
- Examine vouchers, invoices, claims and other payment requests for various types of medical services for authorized patients for completeness, accuracy and compliance with laws and regulations,
- Ensure compliance with current procedural terminology healthcare common procedure coding system and international classification of diseases, tenth revision clinical modification medical claims coding regulations and guidelines, and medicare billing standards,
- Provide comments to include recommended claims dispositions: acceptance and payment; or rejection due to the need for corrections by the claimant, the claimant is any person who making a claim, especially in a lawsuit or for a government-sponsored benefit,
- For accepted claims, process all necessary payment transactions, forward rejected claims to claimants with recommendations for corrections
- To claims processing to provide Help Desk Support (not Information Technology Help Desk),
- Medical claims system and other appropriate software to research customer inquiries,
- Typical duties include but not limited to; coordinating / scheduling activities, tracking inventory, reviewing training for compliance, coordination of security clearances, record keeping and assisting in the preparations of reports
(2) All questions must be submitted no later than August 30, 2019.
(3) This bid is set aside for service-disabled veteran-owned small business.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 13 September, 2019

Category : Medical Billing and Coding

Country : USA

State : Virginia

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