Medical Billing Specialist

22 hours ago


Solapur, Maharashtra, India beBeeBilling Full time ₹ 18,00,000 - ₹ 22,00,000

Key Responsibilities:

This role involves handling VOB (Voice Process), Charge entry, payment posting, insurance claims submission, and AR follow-up on a daily basis.

  • Confirming a patient's insurance coverage and eligibility
  • 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 reviewing and posting 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

Required Skills and Qualifications:

  • Experience 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

Benefits:

This is a full-time on-site role at Ambit Global Solution in Ahmedabad. The Senior Executive Medical Billing will be responsible for handling various tasks mentioned above.

The right candidate will have the opportunity to work with a highly trained team of experts and enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators.



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