
Senior Medical Billing Specialist
8 hours ago
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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