Medical Biller

1 week ago


Pune Maharashtra, India 3Gen Consulting Full time

Department: Revenue Cycle

Designation: Claims Executive / Senior Claims Executive

Experience Required: 1 to 5 years

Job Location: Pune

Shifts: India Night Shift / US Shift

**Job Role**:

- Responsible for charge posting, payment posting, denial management, claims rejections, eligibility verification for members
- Ensure quality and production meet industry standards
- Constantly keeps track of both electronic and paper claims
- Review provider claims that have not been paid by insurance companies
- Watchful for any major rejections or denials from clearing houses/carriers indicating a systemic issue
- Track payments and EOBs from major Carriers, pay-to-address, provider numbers, etc.

**Job Requirements**:

- Undergraduate / Graduate
- Should have basic knowledge of revenue cycle management
- Sound knowledge of U.S. healthcare domain (provider side)
- Basic knowledge of computers
- Willing to work as per US calendar and US shifts


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