Senior Medical Biller

2 weeks ago


Vadodara, Gujarat, India beBeeMedical Full time ₹ 40,00,000 - ₹ 85,00,000
Medical Billing Specialist

We are seeking a detail-oriented Medical Billing Specialist to join our team. The ideal candidate will have experience with medical billing software, strong knowledge of coding systems (ICD-10, CPT, HCPCS), and excellent communication skills.

  • Job Responsibilities:

  • Manage the medical billing process from start to finish, ensuring accurate and timely claims submission.
  • Collaborate with healthcare professionals to translate services into billable codes.

Claim Preparation and Submission:

  • Collect and verify patient and insurance details.
  • Accurately generate insurance claims using CPT, ICD-10, and HCPCS codes.
  • Submit claims electronically or via paper to insurance payers (Medicare, Medicaid, private insurers).

Insurance Verification and Preauthorization:

  • Confirm patient insurance eligibility and coverage before services are rendered.
  • Obtain prior authorizations when required by insurance providers.

Claim Follow-Up and Payment Posting:

  • Monitor submitted claims for acceptance, rejection, or denial.
  • Identify and correct any denied or rejected claims.
  • Resubmit corrected claims promptly.
  • Post insurance and patient payments in the billing system.

Patient Billing and Compliance:

  • Generate and send patient statements electronically for outstanding balances.
  • Communicate with patients regarding billing issues, insurance questions, and payment options.
  • Ensure full compliance with HIPAA and all relevant billing laws.

Requirements:

  • Strong understanding of medical terminology, anatomy, and medical coding systems (ICD-10, CPT, HCPCS).
  • Proficiency with billing software (e.g., Kareo, AdvancedMD, Athenahealth) – varies by client requirements.
  • Familiarity with specific specialties (e.g., Mental Health, Pediatrics, Internal Medicine, Cardiology, Orthopedics, etc.) – client-dependent.


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