Medical Coder

2 days ago

Remote, India OtherOffice Full time

ﮂ- Basis- Part-Time
- ﱯ- Location- Remote
- ﹁- Team- CustomersOffice

A medical biller is responsible for handling and transferring patient information, submission of claims to insurance companies, and also ensuring that the payments for medical services are received in a timely manner. The primary purpose is to detect and eliminate errors in billing codes. They are also responsible for maintaining the confidentiality of patient information and following up with the insurance providers for delays or nonpayment. They are needed to audit claims before they are submitted to insurers.

Roles and Responsibilities:

- Must have knowledge in Claims Denial Management.
- Responsible for posting and managing account payments.
- Review bills for accuracy and completeness and obtain any missing information.
- Knowledge of insurance guidelines especially Medicare and state Medicaid.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Check each insurance payment is for accuracy and compliance with the contract.
- Understands the entire medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures.
- Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals.
- Document all actions taken in 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.

Requirements/Who can apply:

- Attention to detail and high level of accuracy.
- Team member
- Proficient in MS Office; particularly Excel and Outlook.
- Should have good communication skills, both verbal and written.
- Should have knowledge in payment Posting, Charge Entry, and Eligibility.
- Claims and denial management

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