Process Associate

17 hours ago

Ahmedabad, India Intelligent Medical Billing Solutions Full time
Job description

• Claims Processing: Review medical documentation and patient records to accurately code and process claims for healthcare services rendered.

• Insurance Verification: Verify patients' insurance coverage, eligibility, and benefits to determine appropriate billing procedures and ensure accurate reimbursement.

• Billing and Invoicing: Generate and submit invoices to insurance companies, government payers, and patients, ensuring adherence to billing guidelines and regulations.

• Claim Follow-up: Monitor the status of submitted claims, identify unpaid or denied claims, and initiate follow-up activities to resolve discrepancies and facilitate timely payment.

• Denial Management: Investigate claim denials, identify root causes, and take appropriate actions to appeal denied claims or correct billing errors to maximize reimbursement.

• Payment Posting: Record and reconcile payments received from insurance companies and patients, ensuring accurate documentation of all financial transactions.

• Customer Service: Assist patients and healthcare providers with billing inquiries, payment arrangements, and insurance-related issues in a professional and courteous manner.

• Documentation and Reporting: Maintain detailed records of billing activities, claim statuses, and payment transactions, and generate reports to track billing performance and identify trends or areas for improvement.

• Compliance: Ensure compliance with healthcare regulations, coding standards (e.g., ICD-10, CPT), and billing requirements established by government agencies, insurance carriers, and healthcare organizations.

• Quality Assurance: Conduct regular audits of billing processes and documentation to identify errors, discrepancies, or inefficiencies, and implement corrective measures to enhance accuracy and efficiency.

Job Type:

Full-time

(Work From Office Only)

Schedule:

Monday to Friday

US shift

• Shift Timing :

2:00 PM to 12:00 AM (for female candidates)

3:00 PM to 1:00 AM

5:00 PM to 3:00 AM

Supplemental Pay:

• Joining bonus

• Performance bonus

Job Types:

Full-time, Permanent, Fresher

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