Medical Biller
2 months ago
**Job Summary**: Medical Biller are responsible for ensuring accurate and timely reimbursement for medical services provided by healthcare facilities. They handle accounts receivable (AR) activities, including billing, payment posting, and resolving any issues or discrepancies related to billing and reimbursement. Additionally, they process Explanation of Benefits (EOB) documents, reconcile payments, and communicate with insurance companies and patients to address billing inquiries.
**Roles and Responsibilities**:
- Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
- Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
- Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
- Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
- Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.
- Review patient medical records and encounter forms to accurately generate medical bills for services rendered.
- Verify patient insurance coverage and eligibility for timely claims submission.
- Collaborate with insurance companies, healthcare providers, and patients to resolve outstanding balances.
- Receive and review Explanation of Benefits (EOB) documents from insurance companies.
**Requirements /Qualification**:
- High school diploma or equivalent; additional certification in medical billing preferred.
- Proven experience of minimum 1 Year as a Medical Billing AR and EOB in a healthcare setting.
- In-depth knowledge of medical billing processes, insurance guidelines, and reimbursement procedures.
- Proficiency in using billing software
- Strong attention to detail and accuracy in processing billing and payment information.
- Excellent communication and interpersonal skills to interact with insurance companies, healthcare providers, and patients effectively.
- Knowledge of healthcare regulations, compliance requirements, and payer policies.
**Job Types**: Full-time, Regular / Permanent
**Salary**: ₹20,000.00 - ₹40,000.00 per month
**Benefits**:
- Food provided
- Health insurance
- Life insurance
- Provident Fund
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
- US shift
Supplemental pay types:
- Overtime pay
- Performance bonus
Ability to commute/relocate:
- Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 1 year (required)
- Medical billing: 1 year (required)
**Language**:
- English (required)
Shift availability:
- Night Shift (required)
Work Location: One location
**Speak with the employer**
+91 9925545149
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