Medical Billing Specialist

4 days ago


Bengaluru, Karnataka, India PRAKRIYA HEALTHCARE PRIVATE LIMITED Full time

As a Medical Billing Specialist at PRAKRIYA HEALTHCARE PRIVATE LIMITED, you will play a vital role in ensuring the smooth operation of our healthcare services.

Key Responsibilities
  • Patient Information Management: Verify and maintain the accuracy of patient information, requesting any missing details as needed.
  • Referral and Authorization: Obtain and review referrals and authorizations for treatments, confirming patient benefits and insurance eligibility.
  • Regulatory Compliance: Adhere to all regulations and guidelines set by state programs, HMO/PPO, and other relevant bodies.
  • Claims and Billing: Transfer insurance claims and billing data to our billing software, updating it with rate changes as required.
  • Documentation and Tracking: Create paper and electronic copies of documentation, developing and maintaining a tracking system for incoming and late payments.
  • Communication and Resolution: Handle patient or insurance telephone inquiries, follow up on late payments, and initiate late payment notices as needed.
  • Confidentiality and Discrepancies: Maintain patient confidentiality and monitor and resolve financial discrepancies.

At PRAKRIYA HEALTHCARE PRIVATE LIMITED, we value our Medical Billing Specialists for their attention to detail, organizational skills, and commitment to delivering high-quality patient care.



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