Claim and Billing Excutive

3 weeks ago

Delhi Delhi, India Avisa Wellness Pvt. Ltd Full time

**1. Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.**

**2. Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, medical service and coding are billed.**

**3. Assist the A/R Manager collect accounts receivable, including the following revenue sources: Medi-Cal, Medicare, PPO, HMO, Private Insurance and all other fee for service revenue.**

**4. Assist the A/R Manager as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.**

**5. Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.**

**6. Submit claims to insurance companies on a daily basis as necessary.**

**7. File all correspondence into patient s chart.**

**8. Negotiate settlements for payments with insurance companies and courts with assistance of Billing Manager.**

**9. Audit claims daily to ensure timely collections. Review EOB s as directed to ensure compliance with billing practices.**

**10. Follow billing policy guidelines and documented procedures.**

**11. Consistently demonstrate and uphold CCCHC s principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.**

**12. Other duties as assigned.**

**Special Knowledge, Skills, Abilities and Attributes**:

- Demonstrated ability to exercise sound judgment.
- Bilingual in English
- Ability to communicate clearly and concisely.
- Ability to plan and be organized.
- Ability to work well under pressure, take initiative and be flexible and cooperative.
- Self-motivated and independently productive.
- Ability to maintain confidentiality of patient information and Company records.
- Ability to work effectively with both employees and managers.
- Ability to convey a positive and professional image to patients and employees.
- Professional appearance and demeanor.
- Required to know, follow and enforce safe work practices, and be aware of company policies and procedures related to job safety, including safety rules and regulations.
- Required to have knowledge of CHDP guidelines, Immunizations schedule and AAP periodicity table.
- Dependable transportation, automobile insurance, and a current CA Driver License.

**Education and Experience Requirements**

Collage Degree

**Good Knowledge of USA Health care Billing Coding (CPT, ICD 10 ) billing, collection, processing Professional and institutional.**

**Job Types**: Full-time, Permanent

Pay: ₹20,000.00 - ₹40,000.00 per month

Schedule:

- Day shift
- Night shift

Supplemental pay types:

- Performance bonus

Application Question(s):

- USA health care Claim and Billing collection

**Experience**:

- total work: 3 years (required)
- USA Medical billing: 3 years (required)
- CPT, ICD coding: 3 years (required)

Work Location: In person

Expected Start Date: 20/04/2024

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