Medical Billing Specialist

2 days ago

Lucknow, Uttar Pradesh, India beBeeMedicalBilling Full time ₹ 40,00,000 - ₹ 80,00,000

Job Title: Medical Billing Professional

Job Overview:

We are seeking a highly skilled and detail-oriented medical billing specialist to manage our billing processes. The successful candidate will play a crucial role in ensuring timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations.

Main Responsibilities:

  • Oversee the accurate and timely processing of claims, adhering to payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Develop and implement billing policies and procedures to improve accuracy and efficiency.
  • Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analyze billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
  • Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
  • Stay informed about changes in industry standards and policy updates.
  • Provide guidance and training to the team on evolving industry standards and policy updates.

Qualifications:

  • Bachelor's degree in business administration, healthcare administration, finance, or a related field is required.
  • Proven experience with billing systems, payer guidelines, and regulatory compliance.
  • Strong understanding of revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
  • Up-to-date knowledge of industry standards impacting medical billing practices.
  • Familiarity with billing software and electronic health records (EHR) systems.
  • Strong attention to detail, analytical skills, and the ability to work independently.
  • Excellent communication and collaboration skills.

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