Experienced RCM Billing Expert

1 week ago

Malappuram, Kerala, India beBeeMedicalBilling Full time ₹ 37,50,000 - ₹ 45,00,000
Medical Billing Specialist Job Description

We are seeking an experienced Medical Billing Specialist to oversee the billing processes, ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations.

Responsibilities:
  • Oversight of claim processing to guarantee compliance with payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Development and implementation of billing policies and procedures to enhance accuracy and efficiency.
  • Collaboration with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analytical evaluation of billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Proper follow-up on unpaid or denied claims and management of the appeals process.
  • Oversight of the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
  • Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
  • Providing guidance and training to the billing team on evolving industry standards and policy updates.
Requirements:
  • Bachelor's degree in business administration, Healthcare Administration, Finance, or a related field is required. Advanced degrees or certifications (e.g., Certified Professional Biller (CPB)) are a plus.
  • Proven experience with billing systems, payer guidelines, and regulatory compliance.
  • Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
  • Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices.
  • Familiarity with billing software and electronic health records (EHR) systems.
  • Strong attention to detail, analytical skills, and the ability to work independently.
  • Excellent communication and collaboration skills.

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