Senior Executive

1 month ago


Noida, Uttar Pradesh, India Access Healthcare Services Full time
Job Title: Senior Executive

We are seeking a highly skilled Senior Executive to join our team at Access Healthcare Services. The ideal candidate will have prior experience in charge posting or healthcare revenue cycle management and a good understanding of medical billing, coding, and reimbursement processes.

Key Responsibilities:
  • Accurately review and post charges for medical services provided by healthcare providers.
  • Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment.
  • Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.
  • Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid).
  • Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness.
  • Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation.
  • 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.
  • Prioritize workload effectively to ensure timely and accurate charge entry.
  • Maintain accurate records and metrics related to charge posting activities.
  • Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators.
Requirements:
  • Prior experience in charge posting or healthcare revenue cycle management.
  • Good understanding of medical billing, coding, and reimbursement processes.
  • Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems.
  • Familiarity with insurance payer guidelines, including Medicare and Medicaid.
  • Proficient in using healthcare billing systems and electronic medical records (EMR) software.
  • Strong attention to detail and accuracy.
  • Excellent analytical and problem-solving skills.
  • Effective communication and interpersonal skills.
  • Familiarity with HIPAA regulations and compliance requirements.
  • Candidate with Bachelor's degree or equivalent is preferred.

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