Experienced Medical Biller

7 days ago

Hyderabad, Telangana, India beBeeBilling Full time ₹ 60,00,000 - ₹ 81,00,000

Job Title: Experienced Billing RCM

Job Description:

We are seeking a skilled and detail-oriented Medical Billing Specialist to join our billing team.

This role involves supervising a team of billing specialists, coordinating with various departments, and optimizing billing procedures to enhance overall revenue cycle efficiency.

The successful candidate will play a crucial role in managing the billing processes to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations.

Responsibilities:
  • Oversee the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
  • Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
  • Develop and implement billing policies and procedures to improve accuracy and efficiency.
  • Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
  • Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
  • Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
  • Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
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.

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