Senior Executive

3 weeks ago

Noida, Uttar Pradesh, India Access Healthcare Full time
Job Description

We are seeking a highly skilled and detail-oriented Senior Executive - Medical Billing specializing in Charge Posting. This role is essential for the revenue cycle management process, ensuring the accurate and timely entry of charges for medical services. The ideal candidate will have a strong background in medical billing, excellent analytical skills, and a commitment to maintaining high standards of accuracy and compliance.

Key Responsibilities:

- Accurately review and post charges for medical services provided by healthcare providers.
- Analyze patient encounter documentation, such as superbills, operative reports, and medical records, to ensure proper charge capture and appropriate code assignment.
- Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving any discrepancies before charges are posted.
- Adhere strictly to all billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid).
- Maintain a high level of accuracy in charge entry, double-checking all entries for completeness and correctness to minimize errors and discrepancies.
- Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues that could impact revenue.
- Collaborate with the denial management team to promptly resolve charge-related denials and rejections.
- Analyze denial patterns and recommend process improvements to minimize future denials.
- Meet or exceed established productivity and timeliness targets for charge posting.
- Maintain accurate records and metrics related to charge posting activities, preparing reports and analyses as needed to highlight trends, discrepancies, and performance indicators.

Job Requirements:

- Prior experience in charge posting or healthcare revenue cycle management.
- A strong understanding of medical billing, coding, and reimbursement processes.
- Knowledge of medical terminology, and coding systems including CPT, HCPCS, and ICD.
- Familiarity with insurance payer guidelines, including Medicare and Medicaid.
- Proficiency in using healthcare billing systems and electronic medical records (EMR) software.
- Exceptional attention to detail and accuracy.
- Excellent analytical and problem-solving skills.
- Effective communication and interpersonal skills.
- Familiarity with HIPAA regulations and compliance requirements.
- A Bachelor's degree or equivalent is preferred.

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