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Job Description: Medical Billing - Charge Entry and Payment Posting Specialist

**Job Title**: Medical Billing Specialist - Charge Entry & Payment Posting
**Location**: Near Durgam Cheruvu Metro Station

**Job Type**: Full-Time
**Shift**: Day Shift
**Salary**: Upto 38K Take Home

**Job Summary**:
**Key Responsibilities**:
**Charge Entry**:

- Accurately enter charges for medical services provided to patients into the billing system, ensuring that all services are captured and billed correctly.
- Ensure that the charges are aligned with the diagnosis, medical procedures, and services rendered (CPT, ICD-10, HCPCS codes).
- Verify patient insurance information, service codes, and any modifiers necessary for accurate billing.
- Ensure that all charge entries are completed in a timely manner to facilitate smooth claim submission.
- Review clinical documentation to ensure that all charges reflect the services provided.
- Monitor for errors or missing information in charge entries and rectify them promptly.
- Work with the medical team to ensure charges are entered correctly, especially for complex procedures or multiple services.

**Payment Posting**:

- Post payments received from insurance companies, patients, or other third-party payers into the appropriate accounts.
- Process remittance advice (EOBs, ERAs) from insurance companies, ensuring that payments are applied accurately and promptly to the correct patient accounts.
- Review and reconcile payment discrepancies, working with insurance companies or patients to resolve any underpayments, overpayments, or denials.
- Investigate and resolve any claim denials or payment issues, re-billing or appealing claims as necessary.
- Record all adjustments, write-offs, or refunds and ensure that the reasons for adjustments are properly documented.
- Monitor accounts receivable for aging balances and follow up on overdue payments.

**Billing and Documentation**:

- Maintain accurate and up-to-date records of all charges, payments, adjustments, and correspondence related to billing.
- Generate and review daily or weekly reports on payment posting, charge entries, and payment statuses to ensure accuracy.
- Work with the collections team to ensure timely payment resolution for denied claims or outstanding balances.
- Ensure compliance with healthcare regulations, including HIPAA, during the charge entry and payment posting processes.
- Assist with audits and internal reviews related to charge entry and payment posting practices.

**Customer Support (Internal and External)**:

- Collaborate with internal teams such as coding, claims, and collections to resolve any billing discrepancies.
- Provide support to patients and insurance providers by answering questions about their bills, payments, or claim status.
- Communicate effectively with external parties to resolve payment issues or discrepancies.

**Qualifications**:

- **Experience**:

- Minimum of 1-2 years of experience in medical billing, specifically in **charge entry** and **payment posting**.
- Experience in dealing with insurance claims, EOBs (Explanation of Benefits), ERAs (Electronic Remittance Advice), and payment processing.
- Familiarity with **CPT**, **ICD-10**, and **HCPCS** codes and their use in medical billing.
- **Skills**:

- Strong data entry skills with a focus on accuracy and attention to detail.
- Excellent organizational skills and the ability to manage multiple tasks and accounts simultaneously.
- Strong understanding of healthcare payment processes, including insurance payments, patient payments, and reimbursement cycles.
- Knowledge of electronic medical records (EMR) and billing software (e.g., Epic, Cerner, NextGen, or similar systems).
- Strong written and verbal communication skills, especially when dealing with patients, insurance companies, and healthcare providers.
- **Preferred**:

- Knowledge of payer-specific billing rules and payment posting procedures.
- Experience in **denial management** and claim resubmissions.
- Understanding of insurance verification processes.
- Familiarity with **HIPAA** and other regulatory requirements in healthcare billing.

Contact person
- A Srivani - 9959218281

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

Pay: ₹400,000.00 - ₹450,000.00 per year

**Benefits**:

- Food provided
- Health insurance
- Provident Fund

Schedule:

- Day shift
- Morning shift

Supplemental Pay:

- Performance bonus

**Experience**:

- healthcare: 1 year (required)

**Speak with the employer**
+91 9959218281