Medical Billing Specialist

5 days ago

Amrāvati, Maharashtra, India beBeeHealthcare Full time ₹ 60,00,000 - ₹ 1,20,00,000

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. 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.

Job Description

This role is 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.
  • Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment.
  • Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting.
  • Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations (e.g., Medicare, Medicaid)
  • Maintain high accuracy in charge entry, minimizing errors and discrepancies.
  • Meet or exceed established productivity and timeliness targets for charge posting.
  • Prioritize workload effectively to ensure timely and accurate charge entry.
  • Maintain accurate records and metrics related to charge posting activities.
  • Prepare reports and analysis as needed, highlighting trends, discrepancies, and performance indicators.
  • 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

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