Medical Billing and Revenue Cycle Management Expert

3 days ago

Ahmedabad, Gujarat, India beBeeReimbursement Full time ₹ 9,00,000 - ₹ 12,00,000
Medical Billing and Revenue Cycle Management Specialist

The role involves handling the complete revenue cycle management process, from accurate coding and billing to timely follow-up on claims and payments.

This full-time, on-site position requires a detail-oriented and experienced professional to manage the entire revenue cycle, ensuring compliance with payer and regulatory requirements.

  • Review and assign appropriate medical codes (ICD-10, CPT, HCPCS) to ensure accurate billing and reimbursement.
  • Prepare and submit accurate medical claims to insurance companies, government payers, and patients.
  • Track, monitor, and manage accounts receivable to ensure timely reimbursement.
  • Identify, research, and resolve claim denials, rejections, and discrepancies.
  • Follow up with insurance companies, providers, and patients regarding outstanding claims and balances.
  • Maintain up-to-date knowledge of coding guidelines, insurance policies, and billing regulations.
  • Generate reports related to billing, collections, and AR performance.
  • Collaborate with healthcare providers and internal teams to optimize revenue cycle efficiency.

Qualifications & Skills:

A Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification is preferred. The ideal candidate will have proven experience in medical coding, billing, or AR management, as well as a strong understanding of ICD-10, CPT, HCPCS, and payer guidelines.

Proficiency in medical billing software and electronic health records (EHR) is essential, along with excellent communication, problem-solving, and organizational skills.

The ability to work independently as well as part of a team with strong attention to detail is also required.

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