Senior Medical Billing Specialist

8 hours ago


Surat, Gujarat, India beBeeSpecialist Full time ₹ 8,00,000 - ₹ 12,00,000

Job Description:

Ambit Global Solution's Senior Executive Medical Billing role is a critical position in the revenue cycle management process.

The successful candidate will be responsible for handling VOB, Charge entry, payment posting, insurance claims submission, and AR follow up on a day-to-day basis.

Key Responsibilities:

  • Confirming patient insurance coverage and eligibility
  • Reviewing coverage details to ensure a smooth experience for the patient and provider
  • Following up on authorizations obtained
  • Estimating patient owed amounts and insurance payables
  • Accurately reviewing and posting charges for medical services provided by healthcare providers
  • Analyzing patient encounter documentation to ensure accurate charge capture and appropriate code assignment
  • Collaborating with coding professionals to verify 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
  • 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


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