Healthcare Revenue Cycle Specialist

1 week ago

Kolkata, West Bengal, India beBeeRevenue Full time ₹ 12,00,000 - ₹ 15,00,000

Job Title: Healthcare Revenue Cycle Specialist

About the Role

This is a full-time on-site position at a leading medical billing and revenue cycle management company 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.

Duties and Responsibilities
  • Confirming patient insurance coverage and eligibility
  • Reviewing coverage details to ensure a smooth experience for patients and providers
  • Following up on authorizations obtained
  • Estimating patient liability and insurance payouts
  • 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 code accuracy and resolve discrepancies before charge posting
  • Adhering to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulations
  • Maintaining high accuracy in charge entry, minimizing errors and discrepancies
  • Meeting or exceeding 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
Requirements

This role requires strong analytical and problem-solving skills, excellent communication and teamwork abilities, and a keen eye for detail. Ideal candidates will have prior experience in medical billing, revenue cycle management, or a related field.

What We Offer

A dynamic work environment with opportunities for growth and professional development, competitive compensation packages, and a range of benefits to support overall well-being.

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