Senior Medical Billing Specialist

10 hours ago

Nashik, Maharashtra, India beBeeMedicalBilling Full time ₹ 8,00,000 - ₹ 10,00,000
Job Description

Ambit Global Solution is a leading medical and dental billing and revenue cycle management company. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts.

This is a full-time on-site role at Ambit Global Solution. The Senior Executive Medical Billing will be responsible for handling VOB (Voice Process), Charge entry, payment posting, insurance claims submission, AR follow up on a day-to-day basis.

  • Confirming a patient's insurance coverage and eligibility (Voice Process)
  • Reviewing coverage details to ensure a smooth experience for the patient and provider
  • Following up on authorizations obtained
  • Estimating what the patient owes and what the insurance might pay
  • Accurately review and post charges for medical services provided by healthcare providers.
  • Analyzing patient encounter documentation, such as super bills, operative reports, and medical records, 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, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid)
  • 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.
  • Experiencing 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
Required Skills and Qualifications

The ideal candidate will possess:

  • Strong analytical and problem-solving skills
  • Ability to work accurately and efficiently in a fast-paced environment
  • Excellent communication and interpersonal skills
  • Proficiency in Microsoft Office applications, particularly Excel
  • Knowledge of medical terminology and coding systems
  • Ability to maintain confidentiality and handle sensitive information
Benefits

This role offers a competitive salary and benefits package, including:

  • Medical, dental, and vision insurance
  • 401(k) retirement plan with company match
  • Flexible paid time off
  • Opportunities for professional growth and development
Work Environment

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

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