Medical Billing Executive

2 weeks ago

Noida, India Gentell Inc. Full time

**Job Description - Medical Billing Expert**
- Responsible for managing a team of Medical Billers, Credentialing and Medical Coders in physician billing process
- Responsible for managing client and provider escalations. Account management responsibilities.
- Responsible for direct physician, provider, and US team interaction
- Responsible for process improvement, process optimization, ageing reports, analytics, and SLA management.
- Responsible for all internal quality audits and ensuring maximum team performance and output with no delays and errors.
- Responsible for developing and managing team through specific well defined KRA/KPI, work timings, attendance, and performance management.
- Responsible for training and development of existing team members and ensuring the overall quality improvement.
- Prepare, analyze, and present regular MIS reports for management review on various business metrics like Team performance, SLA, Quality checks, SLA etc.
- Take the lead in interaction with all US based team members/clients/physicians/providers.
- Identifying scenarios with global issue for the entire patient account or multiple patient accounts impacted with same scenario.
- Will be required to play an individual contributor hands-on role ~50% of the time in various RCM areas as per business requirement.
- Completed graduation. Other formal education or training on a practice management system using patient accounting will be added advantage.
- Must have at least 5 years’ experience in US healthcare RCM team management.
- Must be familiar with all aspects of RCM including but not limited to Patients Collections, AR Follow Up, Insurance Processing, Payment Posting, Customer Service, Eligibility Verification, HIPPA compliance, Credentialing, Physician onboarding, Medical Coding, Administrative Duties etc.
- CPT and ICD9 coding experience including use of modifiers and HCPCS codes. Understand CMS-1500 and UB-04 claim formats.
- Understanding of all RCM terminology. Basic knowledge of collection laws, rules, and regulations. HIPPA certification or CPC certification will be big plus.
- Knowledge of medical billing software, preferably BrightTree, Kareo, Therapy Notes, Simple Practice, Theranest or any other similar.
- Experience reading and interpreting and entering insurance EOBs.
- Soft skills required:

- Excellent verbal and written English communication skills for interacting with USA based team members/ physicians/ vendors/patients.
- Willing to work in USA PDT/EDT timings and/or any other flexi shift timings based on business requirements.
- Professional and able to make a great impression on the phone. Required to understand, communicate & work regularly with USA based team.
- Positive attitude and able to provide required guidance to team members.
- Ability to work well with others and facilitate teamwork and cooperation. Must work in liaison with stakeholders involved in work.
- Willing to cross train and cross learn other areas of RCM.
- Possess excellent documentation & presentation skills.
- Tact, diplomacy, and the ability to maintain confidentiality of company, client, and patient information.
- Must have very strong work ethic and an excellent attention to detail.
- Able to work under deadlines & target pressure and handles rejection well.
- Able to manage data in spreadsheets and CRM.

**Salary**: ₹400,000.00 - ₹800,000.00 per year

Schedule:

- Day shift
- Monday to Friday
- US shift

**Education**:

- Bachelor's (preferred)

**Experience**:

- total work: 8 years (required)

**Language**:

- English (required)

Work Location: In person

Expected Start Date: 16/04/2024

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