Medical Biller
6 months ago
Department: Revenue Cycle
Designation: Claims Executive / Senior Claims Executive
Experience Required: 1 to 5 years
Job Location: Pune
Shifts: India Night Shift / US Shift
**Job Role**:
- Responsible for charge posting, payment posting, denial management, claims rejections, eligibility verification for members
- Ensure quality and production meet industry standards
- Constantly keeps track of both electronic and paper claims
- Review provider claims that have not been paid by insurance companies
- Watchful for any major rejections or denials from clearing houses/carriers indicating a systemic issue
- Track payments and EOBs from major Carriers, pay-to-address, provider numbers, etc.
**Job Requirements**:
- Undergraduate / Graduate
- Should have basic knowledge of revenue cycle management
- Sound knowledge of U.S. healthcare domain (provider side)
- Basic knowledge of computers
- Willing to work as per US calendar and US shifts
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