Billing/authorization Associate

1 day ago

Makarba Ahmedabad Gujarat, India Intelligent Medical Billing Solutions Full time

**Location**: Ahmedabad

**Job Type**: Full-Time
**Salary**: ₹20,500 - ₹40,000 per month
**Schedule**:

- Day Shift / Night Shift / US Shift
- Monday to Friday

**Job Summary**:
**Key Responsibilities**:

- **Insurance Verification**: Check and verify patients’ insurance coverage, eligibility, and benefits for medical services.
- **Authorization Process**: Request and obtain pre-authorization and pre-certification from insurance companies for procedures, diagnostics, treatments, and equipment.
- **Medical Necessity Review**: Evaluate provider documentation to confirm medical necessity and ensure alignment with insurance policies.
- **Medical Billing**: Prepare and process accurate medical bills with correct codes (ICD, CPT, HCPCS) in accordance with payor guidelines.
- **Claims Submission**: Submit claims and authorization requests electronically or via other required channels with complete supporting documentation.
- **Follow-Up**: Track the status of authorizations and claim submissions; follow up on pending requests and denials.
- **Issue Resolution**: Communicate with insurance companies to resolve denied or delayed authorizations and work closely with the internal billing team to clarify discrepancies.
- **Record Keeping**: Maintain updated records of all authorizations, billing details, approvals, denials, and communications.
- **Compliance**: Adhere to healthcare compliance standards including HIPAA and ensure all activities follow industry regulations and company protocols.
- **Team Coordination**: Collaborate with other departments to ensure smooth billing cycles and optimal patient service delivery.
- **Knowledge Upkeep**: Stay updated with insurance policy changes, coding updates, and best practices in medical billing.

**Qualifications**:

- Minimum **1 year of experience** in medical billing/authorization (preferred).
- Strong **understanding of medical coding** (ICD, CPT, HCPCS).
- Familiarity with insurance authorization procedures and claim workflows.
- Good communication and coordination skills.
- Proficiency in EHR/medical billing software.
- Detail-oriented with strong problem-solving skills.

**Benefits**:

- Provident Fund
- Performance Bonus
- Joining Bonus (If Applicable)

Pay: ₹20,500.00 - ₹40,000.00 per month

**Benefits**:

- Flexible schedule
- Leave encashment
- Paid sick time
- Provident Fund

Schedule:

- Evening shift
- Fixed shift
- UK shift
- US shift

Supplemental Pay:

- Joining bonus

Ability to commute/relocate:

- Makarba, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (preferred)

**Education**:

- Bachelor's (preferred)

Shift availability:

- Night Shift (preferred)

Work Location: In person

  • Billing/ Authorization Executive

    1 week ago

    Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Job description(Auth/billing)** **Location**: Ahmedabad **Job Type**: Full-Time **Schedule**: - Day Shift / Night Shift / US Shift - Monday to Friday **Job Summary**: **Key Responsibilities**: - **Insurance Verification**: Check and verify patients’ insurance coverage, eligibility, and benefits for medical services. - **Authorization Process**:...

  • Process Associate

    18 hours ago

    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time ₹ 2,40,000 - ₹ 3,60,000 per year

    Job Opening: AR (Accounts Receivable) Caller / Medical Billing SpecialistWe are hiring immediate joiners Both freshers and experienced candidates are encouraged to apply. If you are interested in a stable and growing career in healthcare billing, walk in for an interview anytime between 2 PM – 7 PM (Monday to Thursday).Location:B-1110, World Trade Tower,...

  • Team leader RCM

    6 days ago

    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time ₹ 4,50,000 - ₹ 6,00,000 per year

    Job Title: Team Leader – RCM (Accounts Receivable)Location: AhmedabadDepartment: Revenue Cycle Management (RCM)Reports To: Operations Manager / Department HeadAbout the Role:We are seeking a proactive and results-driven Team Leader – RCM (Accounts Receivable) to lead and mentor a team of AR specialists. The ideal candidate will be responsible for...

  • Process Associate

    2 weeks ago

    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    We at Intelligent Medical Billing Solutions, Ahmedabad are looking for Medical Billers, AR callers, Mentor, Team lead and RCM Specialist and you are welcome to visit our office anytime in the coming week to apply. Experience: 0 - 2 Years Education Qualifications: - BSC/MSC ( Biology, Biotech, Mathematics, Zoology, Microbiology, - Physics, Chemistry) -...

  • Voice Process Associate

    7 days ago

    Makarba, Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    Dear Connections, We at Intelligent Medical Billing Solutions, Ahmedabad are looking for Medical Billers, AR callers, Mentor, Team lead and RCM Specialist and you are welcome to visit our office anytime in the coming week to apply. Experience: 0 - 2 Years Education Qualifications: - BSC/MSC ( Biology, Biotech, Mathematics, Zoology, Microbiology, -...

  • Medical Billing Executive

    2 weeks ago

    Ahmedabad, Gujarat, India Brainvire Infotech Pvt. Ltd Full time

    Having knowledge of Charge Posting and payment posting (Check/EFT/Patient Experience of minimum 1 year in AR Calling in any US Healthcare KPO (Voice Process).  Following Standard Operating Procedures (SOPs) and utilize Job Aides to execute the prescribed workflow for team and individual responsibilities.  Prioritizing daily tasks and responsibilities...

  • Team Lead-Authorization

    2 weeks ago

    Ahmedabad, India CrystalVoxx Global LLP Full time

    Job Description Company Description CrystalVoxx Global LLP provides Medical Billing and Medical Coding Services to healthcare professionals including solo practices, groups, nursing homes, hospitals, and ambulatory care centers. Our company is dedicated to delivering efficient and accurate billing and coding solutions to our clients. We strive to offer the...

  • Medical Billing Associate

    1 day ago

    Ellis Bridge, Ahmedabad, Gujarat, India Procean Healthcare Full time

    **Key Responsibilities**: - **Medical Billing & Coding**: - Accurately process and submit medical claims to insurance companies for retail medical services and products. - Review patient files to ensure proper documentation for billing. - Ensure compliance with relevant healthcare regulations, including HIPAA, while processing patient data. - **Claims...

  • Authorization Executive

    2 weeks ago

    Ahmedabad, India CrystalVoxx Global LLP Full time

    Job Description Company Description CrystalVoxx is a healthcare econometrics company specializing in medical billing and coding services, including provider insurance credentialing, clearing house configuration, EDI enrollment, claims scrubbing, AR recovery, and denial management. With 14 years of experience, CrystalVoxx collaborates with healthcare...

  • Rcm- Payment Posting

    2 weeks ago

    Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Job Title**: Process Associate - Payment Posting **Location**: Ahmedabad/ Bhavnagar **Department**: RCM - Payment Posting **Shift Timing**: Evening Shift (Full-Time) **Key Responsibilities**: - Accurately post insurance and patient payments to the billing system - Reconcile daily deposits and resolve discrepancies - Work closely with AR and denial teams...