Senior Medical Billing Leader

4 days ago

Palakkad, Kerala, India beBeeMedicine Full time ₹ 40,00,000 - ₹ 80,00,000

Maximizing Revenue and Reducing Costs

A leading provider of medical billing and revenue cycle management services seeks a Senior Executive to join their team.

  • This full-time on-site role at a prominent healthcare organization in Ahmedabad requires strong leadership and technical skills.
  • The ideal candidate will have expertise in handling VOB (Voice Process), Charge entry, payment posting, insurance claims submission, and AR follow up on a day-to-day basis.
Key Responsibilities

Confirming Patient Insurance Coverage: Verify patient eligibility and coverage details to ensure a smooth experience for the patient and provider.

  • Obtain authorizations as required and follow up to ensure timely completion.
  • Estimate patient liability and insurance payouts accurately.

Accurate Charge Capture: Review patient encounter documentation, such as super bills and operative reports, to ensure accurate charge capture and code assignment.

  • Collaborate with coding professionals to verify code accuracy and resolve discrepancies.
  • Maintain high accuracy in charge entry, minimizing errors and discrepancies.

Compliance and Regulatory Knowledge: Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations.

  • Stay up-to-date on industry developments and changes to ensure continued compliance.

Performance Metrics: Meet or exceed established productivity and timeliness targets for charge posting.

  • Prioritize workload effectively to ensure timely and accurate charge entry.
  • Maintain accurate records and metrics related to charge posting activities.
Required Skills and Qualifications

Experience: Proven track record of success in medical billing, preferably with experience in handling denials and insurance claims.

Knowledge: Strong understanding of Medicare billing processes and ability to work efficiently with complex systems.

Skillset: Excellent communication and interpersonal skills, with the ability to work effectively in a team environment.

Education: Bachelor's degree in a relevant field, such as health administration or business.

Benefits

This role offers a competitive salary and opportunities for professional growth and development in a dynamic and supportive environment.

This is a Work from Office Role in Ahmedabad with US Shifts.

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