Process Associate

1 month ago

Ahmedabad, India Intelligent Medical Billing Solutions Full time
• 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

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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