Medical Claims Specialist

1 day ago


Cochin, Kerala, India beBeeMedicalClaimsSpecialist Full time ₹ 10,00,000 - ₹ 15,00,000

Job Description

We are seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for handling various tasks related to medical billing and claims processing.

  • Confirming patient insurance coverage and eligibility
  • Reviewing coverage details to ensure a smooth experience for patients and healthcare providers
  • 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
  • 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

Role Requirements:

The ideal candidate will have excellent analytical and problem-solving skills, with the ability to work accurately and efficiently under pressure. Strong communication and interpersonal skills are essential for this role, as well as experience working in a fast-paced healthcare environment.

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 VOB (Voice Process), Charge entry, payment posting, insurance claims submission, AR follow up on a day-to-day basis.

Work Location:

Ambit Global Solution

Ahmedabad

Work Type:

Full-time

Salary Information: Not disclosed

Salary would not be a constraint for the right candidate. This is a Work from Office Role in Ahmedabad with US Shifts.

About Us:

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.



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