Healthcare Professional: Medical Billing Position

2 weeks ago

Ghaziabad, Uttar Pradesh, India beBeeBilling Full time ₹ 40,00,000 - ₹ 80,00,000
Medical Billing Specialist

As a Medical Billing Specialist, you will play a vital role in ensuring seamless patient care and accurate financial management.

  • Key Responsibilities
    • Collect and verify patient and insurance details.
    • Translate physician services into billable codes (often in collaboration with a medical coder).
    • Accurately generate insurance claims using CPT, ICD-10, and HCPCS codes.
    • Submit claims electronically or via paper to insurance payers.
  • 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:
    • Monitor submitted claims for acceptance, rejection, or denial.
    • Identify and correct any denied or rejected claims.
    • Resubmit corrected claims promptly.
  • Payment Posting and Reconciliation:
    • Post insurance and patient payments in the billing system.
    • Review EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice).
    • Reconcile posted payments with deposits and patient accounts.
  • Patient Billing and Communication:
    • Generate and send patient statements electronically for outstanding balances.
    • Communicate with patients regarding billing issues, insurance questions, and payment options.
    • Assist in setting up payment plans if necessary.
  • Compliance and Confidentiality:
    • Ensure full compliance with HIPAA and all relevant billing laws.
    • Maintain strict confidentiality of patient and financial data.
    • Stay updated with changing payer guidelines, coding rules, and healthcare regulations.
  • Reporting and Documentation:
    • Generate billing and financial reports for physicians or practice managers.
    • Maintain accurate records for internal reviews and external audits.

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