Medical Billing and Revenue Cycle Management Professional
1 day ago
Ambit Global Solution is a leading provider of medical and dental billing and revenue cycle management services. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts.
This role involves handling various tasks on a day-to-day basis, including confirming patient insurance coverage, reviewing coverage details, following up on authorizations obtained, estimating what patients owe and what insurance might pay, 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 the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting, adhering to billing and coding compliance guidelines, maintaining high accuracy in charge entry, minimizing errors and discrepancies, meeting or exceeding established productivity and timeliness targets for charge posting, prioritizing workload effectively, maintaining accurate records and metrics related to charge posting activities, preparing reports and analysis as needed, highlighting trends, discrepancies, and performance indicators, and experience in handling denials and insurance claims.
Proficiency in Medicare billing processes, strong attention to detail and accuracy, excellent communication and interpersonal skills, and experience working in a healthcare setting are required for this position.
The ideal candidate will have a proven track record of success in medical billing and revenue cycle management, with a strong understanding of industry regulations and compliance requirements.
Key Responsibilities:- Confirm patient insurance coverage and eligibility
- Review coverage details to ensure a smooth experience for the patient and provider
- Follow up on authorizations obtained
- Estimate what patients owe and what insurance might pay
- Accurately review and post charges for medical services provided by healthcare providers
- Analyze patient encounter documentation to ensure accurate charge capture and appropriate code assignment
- Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers
- Resolve discrepancies or coding-related issues before charge posting
- Adhere to billing and coding compliance guidelines
- Maintain high accuracy in charge entry
- Meet or exceed established productivity and timeliness targets for charge posting
- Prioritize workload effectively
- Maintain accurate records and metrics related to charge posting activities
- Prepare reports and analysis as needed
- 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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