Process Associate

3 days ago

Dehradun Uttarakhand, India Applite Solutions Full time

**Job description**

We are seeking a motivated and detail-oriented Process Associate with 1-3 years of experience in US Medical Billing to join our team. The Process Associate will be responsible for supporting various aspects of the medical billing process, including data entry, claims processing, and administrative tasks, to ensure timely and accurate reimbursement for our clients.

**Responsibilities**:

- Perform data entry tasks to input patient demographic information, insurance details, and medical codes into billing software or electronic health records (EHR) systems.
- Verify insurance eligibility and benefits for patients, ensuring accurate billing and reimbursement.
- Review medical claims for completeness, accuracy, and compliance with payer requirements before submission.
- Generate and submit electronic and paper claims to insurance companies, government payers, and other third-party payers.
- Monitor claim status and follow up on outstanding or denied claims to facilitate prompt resolution and payment.
- Assist with insurance denials and appeals by researching issues, gathering supporting documentation, and resubmitting claims as necessary.
- Maintain organized and up-to-date documentation of billing activities, including claim logs, correspondence, and payment records.
- Collaborate with billing managers and other team members to identify opportunities for process improvement and efficiency gains.
- Adhere to HIPAA regulations and other privacy laws to ensure the confidentiality and security of patient information.

**Requirements**:

- Graduate/Undergraduate.
- Minimum of 1-3 years of experience in medical billing, revenue cycle management.
- Knowledge of medical terminology, CPT/HCPCS codes, ICD-10 coding, and insurance billing procedures.
- Familiarity with commercial and government payers, including Medicare, Medicaid, and commercial insurance carriers.
- Strong attention to detail and accuracy in data entry and documentation.
- Excellent communication and interpersonal skills, with the ability to work effectively in a team environment.
- Ability to prioritize tasks, manage workload efficiently, and meet deadlines in a fast-paced environment.
- Night Shift (US Shift).
- Work from Office.

**Job Types**: Full-time, Permanent

Pay: ₹360,000.00 - ₹480,000.00 per year

Ability to commute/relocate:

- Dehra Dun, Dehra Dun - 248001, Uttarakhand: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Work: 1 year (required)

Shift availability:

- Night Shift (required)

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