Medical Biller

3 days ago

Prahlad Nagar Ahmedabad Gujarat, India Nee's Physical Therapy Full time

**Medical Biller - Commercial and Government Insurance (US Healthcare), Minimum 5 years of work experience.**
Location: Remote India-based
Schedule: US Eastern Standard Time (9AM-6PM)

**Job Type**: Full-Time or Part-Time
Pay: ₹45000 - ₹60000 per month based on experience
Bonus: Performance-based quarterly bonus

**About Us**

**Position Summary**
The Medical Biller will be responsible for the full revenue cycle, including insurance verification, charge entry, claims submission, payment posting, denial management, and patient collections. Accuracy and follow-through in this role directly impact reimbursement clinic performance and patient satisfaction.

Location

**Key Responsibilities**

**Insurance Verification and Authorizations**
- Verify patient insurance eligibility and benefits before appointments
- Obtain prior authorizations and referrals from commercial insurance providers

**Charge Entry and Coding**
- Enter charges using correct CPT ICD-10 and HCPCS codes
- Ensure billing is supported by proper clinical documentation

**Claims Submission and Follow-Up**
- Submit clean claims through clearinghouses or payer portals
- Track claim statuses and resolve rejections or submission errors promptly

**Payment Posting and Reconciliation**
- Post payments from insurance companies and patients using EOBs and ERAs

**Denial Management and Appeals**
- Review denied or underpaid claims and determine corrective action
- Prepare and submit appeals with supporting documentation when necessary

**Patient Billing and Collections**
- Generate and distribute patient statements
- Communicate with patients regarding balances and establish payment plans as needed

**Compliance and Reporting**
- Ensure compliance with HIPAA and commercial insurance billing guidelines
- Maintain accurate financial records and generate aging and AR reports

**Required Qualifications**
- Minimum 5 years of experience in medical billing for US commercial insurance
- Prior experience in outpatient physical therapy billing is preferred
- Proficiency with billing software clearinghouses and payer portals such as Availity or Office Ally
- Strong understanding of CPT codes, modifiers and insurance reimbursement rules
- Excellent written and verbal communication skills in English
- Ability to work independently in a remote setting and meet deadlines
- Must have a stable internet connection a quiet home office and own a laptop
- Must be available to work during US Eastern Time EST business hours

**Additional Requirements**
- Must provide 3 professional references from previous healthcare billing roles

**To Apply**

Schedule:

- Monday to Friday
- Night shift
- US shift

Supplemental Pay:

- Performance bonus
- Quarterly bonus
- Yearly bonus

Work Location: Remote

Pay: ₹45,000.00 - ₹70,000.00 per month

Expected Start Date: 01/10/2025

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