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Medical Biller

2 months ago

India Triple Full time

Triple Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triple—where we redefine the essence of remote hiring. Summary As a medical biller, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies. Responsibilities Perform charge and demo entries. Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems ( ICD-10 and CPT) Review bills for accuracy and completeness and obtain any missing information. Knowledge of insurance guidelines especially Medicare and state Medicaid. Check each insurance payment for accuracy and compliance with the contract. Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures. Document all actions taken in the company or Client host system. Adhere to HIPAA, patient confidentiality, and compliance requirements at all times. Research payor rules and regulations to maintain current payor knowledge. Qualifications Proficiency in medical coding (ICD-10, CPT, HCPCS). Strong attention to detail to ensure accuracy in billing and coding. Knowledge of medical terminology and anatomy. Familiarity with healthcare billing software and electronic health records (EHR). Ability to navigate insurance claim processes and resolve issues. Schedule (US Shifts Only) Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday Logistical Requirements Quiet and brightly illuminated work environment Laptop with Minimum 8GB RAM, I5 8th gen processor 720P Webcam and Headset A reliable ISP with a minimum speed of 100 Mbps Smartphone