Medical Biller/coder

2 weeks ago

Ahmedabad, India Ace Healthcare Solutions Pvt. Ltd. Full time

The medical biller/coder is responsible for identifying and collecting balances from third-party carriers, submitting charges, following up on charges, gathering and disseminating information relating to billing and reimbursement as well as implementing policies, procedures, and protocols to assist the needs of the organization with billing and reimbursement related issues. Providing training to departmental personnel as needed as well as clinicians as assigned by the director.

**General Areas of Responsibility**:

- Maintain designated percentage of collections as defined by the director
- Follow up on team activities including but not limited to outstanding third-party insurance accounts
- Prepare client and staff request forms
- Coordinates and reviews the day-to-day duties/achievements with the unit lead, manager, and director
- Responsible for notifying unit lead, manager, and director of immediate or pending system errors, system problems, insurance plans not paying at the approved rates
- Responsible for managing accounts, verifying eligibility, and converting the visit to the appropriate insurance plans
- Identifies denial trends/patterns and reports to the director
- Ensures all denials are identified and the items are worked to the fullest extent, corrected, and re-submitted in a timely manner
- Write-off noncollectable accounts after approval from the director
- Assists in troubleshooting and reporting transmittal problems
- Assists in the training of new employees as instructed by the billing director
- Manages staff corrections and/or re-files denials as appropriate
- Performs other duties as assigned from time to time
- Have advanced knowledge of the nternational Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT).
- The coder must have practical knowledge of the reimbursements systems, including but not limited to outpatients and specialties.
- Must have advanced knowledge of industry nomenclature; medical and procedural terminology; anatomy and physiology; pharmacology; and disease processes.
- The practical knowledge of medical specialties must include primary care, pediatrics, OB, infectious disease, pulmonary and revenue cycle management.
- Monitors the ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided.
- Maintains technical currency through continuing education and training opportunities.

Pay: ₹216,000.00 - ₹540,000.00 per year

**Benefits**:

- Health insurance
- Life insurance
- Paid time off

Schedule:

- Monday to Friday

Ability to commute/relocate:

- Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work (preferred)

Work Location: In person

Expected Start Date: 20/06/2023

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