Senior Healthcare Revenue Manager

Medical Billing and Revenue Cycle Management Professional

Ambit Global Solution is a leading medical and dental billing and revenue cycle management company based in Ahmedabad. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts. Ambit's powerful technology solutions and client-focused service enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators.

• Confirming a patient's insurance coverage and eligibility
• Reviewing coverage details to ensure a smooth experience for the patient and provider
• Following up on authorizations obtained
• Estimating what the patient owes and what the insurance might pay
• 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.
• 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.
• Experience in handling denials and insurance claims
• Proficiency in Medicare billing processes
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Experience working in a healthcare setting

Key Responsibilities:

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• This is a full-time on-site role at Ambit Global Solution in Ahmedabad. The Senior Executive Medical Billing will be responsible for handling VOB (Voice Process), Charge entry, payment posting, insurance claims submission, AR follow up on a day-to-day basis.

Required Skills and Qualifications:

• Confirming a patient's insurance coverage and eligibility
• Reviewing coverage details to ensure a smooth experience for the patient and provider
• Following up on authorizations obtained
• Estimating what the patient owes and what the insurance might pay
• 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.
• 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.
• Experience in handling denials and insurance claims
• Proficiency in Medicare billing processes
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Experience working in a healthcare setting