Ip Billing Executive

3 weeks ago

Bengaluru, Karnataka, India Spandana Hospital Full time

Company Overview Spandana Hospital is dedicated to providing world-class healthcare services at an affordable cost As a heart and superspeciality hospital we are committed to high-quality tertiary and critical care Our team consists of highly trained and dedicated medical administrative and supportive staff ensuring a patient-centered approach Located in Bangalore Spandana Hospital aims to deliver exceptional healthcare reflecting our mission to serve society effectively Job Overview We are seeking a Junior IP Billing Executive to join our team at Spandana Hospital in Bengaluru As a full-time position the role is integral to our billing department focusing on efficient billing processes and patient records management The ideal candidate will possess expertise in Medicare Medicaid billing and EHR systems supporting our mission to provide affordable and high-quality healthcare services Qualifications and Skills Proficiency in Medicare Medicaid billing essential for accurate processing and compliance Mandatory skill Experience with Electronic health record EHR systems crucial for managing patient data efficiently Mandatory skill Strong aptitude in insurance verification vital for patient coverage assessment and correct billing Mandatory skill Understanding of ICD-10 coding standards for accurate diagnosis coding and billing Familiarity with CPT coding to ensure proper coding of procedures and services Knowledge of revenue cycle management principles to optimize financial performance Experience in denial management essential for reducing claim denials and improving revenue A thorough understanding of HIPAA compliance to safeguard patient information and ensure privacy Roles and Responsibilities Manage the billing process ensuring the accurate and timely submission of claims Verify patient insurance coverage and ensure pre-certification and authorization requirements are met Collaborate with medical staff to ensure proper implementation of coding practices and chart documentation Handle denial management processes by analyzing rejections and initiating appeals when necessary Maintain comprehensive EHR system records in accordance with hospital procedures Ensure billing procedures comply with Medicare Medicaid and other insurance regulations Respond to billing inquiries from patients and other stakeholders promptly and professionally Participate in process improvement initiatives to enhance billing practices and efficiency

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