Medical Services Revenue Manager

20 hours ago

Jamnagar, Gujarat, India beBeeBilling Full time ₹ 8,00,000 - ₹ 12,00,000
Senior Executive Medical Billing

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

  • Confirming a patient's insurance coverage and eligibility (Voice Process)
  • 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 reviewing and posting charges for medical services provided by healthcare providers.
  • Analyzing patient encounter documentation, such as super bills, operative reports, and 
  • medical records, to ensure accurate charge capture and appropriate code assignment.
  • Collaborating with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.
  • Adhering to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations.
  • Maintaining high accuracy in charge entry, minimizing errors and discrepancies.
  • Meeting or exceeding established productivity and timeliness targets for charge posting.
  • Prioritizing workload effectively to ensure timely and accurate charge entry.
  • Maintaining accurate records and metrics related to charge posting activities.
  • Preparing reports and analysis as needed, highlighting trends, discrepancies, and performance indicators.
  • Experiencing 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

The right candidate will have US shifts and work from office role in Ahmedabad with salary not being a constraint. This opportunity allows you to enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators while focusing on client satisfaction through detailed processes, experienced personnel, cutting-edge technology, and a forward-thinking approach.

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