Process Associate

2 weeks ago

Bhavnagar, India Intelligent Medical Billing Solutions Full time

**Responsibilities**:

- **Claims Follow-up**: Contact insurance companies to follow up on unpaid or denied claims, verify claim status, and identify reasons for non-payment.
- **Payment Posting**: Record and reconcile payments received from insurance companies and patients, ensuring accuracy in posting transactions to patient accounts.
- **Insurance Verification**: Verify patients' insurance coverage, eligibility, and benefits to ensure accurate billing and reimbursement.
- **Denial Management**: Investigate claim denials, identify root causes, and take appropriate actions to appeal denied claims or correct billing errors to facilitate payment.
- **Patient Billing**: Contact patients to discuss outstanding balances, explain billing statements, and assist with setting up payment plans or resolving billing disputes.
- **Documentation and Reporting**: Maintain detailed records of collections activities, including correspondence with insurance companies and patients, and generate reports to track collections performance.
- **Customer Service**: Provide excellent customer service to patients and healthcare providers, addressing inquiries, concerns, and complaints related to billing and collections.
- **Revenue Cycle Management**: Collaborate with internal teams, including billing specialists, coders, and account managers, to optimize revenue cycle processes and improve collections efficiency.
- **Compliance**: Ensure compliance with healthcare regulations, billing guidelines, and privacy laws (e.g., HIPAA) in all collections activities.

**Requirements**:

- **Education**: High school diploma or equivalent required. Additional coursework or certification in medical billing and coding is advantageous.
- **Experience**: Previous experience in medical billing, accounts receivable, or collections preferred. Familiarity with healthcare reimbursement processes and insurance claims is beneficial.
- **Communication Skills**: Excellent verbal and written communication skills, with the ability to effectively communicate with insurance companies, patients, and internal stakeholders.
- **Negotiation Skills**: Strong negotiation and persuasion skills to effectively resolve billing disputes and secure payment commitments from insurance companies and patients.
- **Attention to Detail**: Keen attention to detail and accuracy in reviewing billing statements, payment records, and insurance claims.
- **Problem-Solving Skills**: Strong analytical and problem-solving skills to identify billing discrepancies, address payment issues, and implement solutions.
- **Organizational Skills**: Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment.
- **Ethical Conduct**: Commitment to maintaining patient confidentiality, adhering to ethical standards, and ensuring compliance with healthcare regulations and privacy laws.

**Salary**: ₹25,000.00 - ₹40,000.00 per month

**Benefits**:

- Provident Fund

Schedule:

- Day shift
- Monday to Friday
- US shift

Supplemental pay types:

- Performance bonus

**Experience**:

- total work: 1 year (preferred)

Work Location: In person

**Speak with the employer**
+91 8320127619

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