
Senior Medical Claims Processor
2 days ago
Ambit Global Solution is a leading medical and dental billing and revenue cycle management company. The organization helps organizations maximize revenue and reduce operating costs with a highly trained team of experts.
This is a full-time on-site role in Ahmedabad. The Medical Billing Specialist will be responsible for handling VOB (Voice Process), Charge entry, payment posting, insurance claims submission, 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 review and post 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 (e.g., Medicare, Medicaid)
- 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.
- 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
This is a Work from Office Role in Ahmedabad with US Shifts.
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