Medical Billing Specialist

2 days ago


Ahmedabad, Gujarat, India beBeeBILLING Full time ₹ 8,00,000 - ₹ 12,00,000
Medical Billing and AR Specialist

Ambit Global Solution is a leading medical and dental billing and revenue cycle management company based in Ahmedabad.

The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts. Ambit's powerful technology solutions and client-focused service enhance the efficiency and profitability of medical practices, hospitals, dental groups, GPOs, and third-party administrators.

Client satisfaction is the primary focus, supported by detailed processes, experienced personnel, cutting-edge technology, and a forward-thinking approach.

Responsibilities:
  • Confirming a patient's insurance coverage and eligibility for medical services provided by healthcare providers.
  • Reviewing coverage details to ensure a smooth experience for the patient and provider.
  • Following up on authorizations obtained for timely charge posting.
  • Estimating what the patient owes and what the insurance might pay accurately.
  • 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.

This role requires strong attention to detail and accuracy, excellent communication and interpersonal skills, and experience working in a healthcare setting.

The ideal candidate will have proficiency in Medicare billing processes, experience handling denials and insurance claims, and a proven track record of meeting productivity targets.



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