Medical billing Executive

3 days ago

Puducherry, Puducherry, India Prolify Full time ₹ 1,20,000 - ₹ 2,40,000 per year

We are looking for a skilled and detail-oriented Medical Billing Executive with a minimum of 2 years of experience in US Healthcare Revenue Cycle Management (RCM). The ideal candidate will be responsible for handling end-to-end billing activities, ensuring accurate claim submission, payment posting, and resolution of denials to support a smooth revenue cycle process.

Key Responsibilities

  • Prepare, review, and submit clean claims to insurance companies electronically and via paper.
  • Perform charge entry, payment posting, and reconciliation accurately and within defined timelines.
  • Work on claim edits, rejections, and follow up with insurance payers for claim status.
  • Manage denials and underpayments; take corrective actions to resolve and resubmit claims.
  • Review patient demographics, insurance eligibility, and benefits verification to avoid claim rejections.
  • Maintain accurate billing records, EOBs/ERAs, and reconcile accounts daily.
  • Collaborate with AR, coding, and clinical teams for smooth resolution of billing issues.
  • Meet productivity and quality benchmarks consistently.
  • Stay updated with payer rules, compliance requirements, and industry standards.

Required Skills & Qualifications

  • Minimum 2 years of hands-on experience in US Healthcare Medical Billing.
  • Strong knowledge of CPT, ICD-10, HCPCS codes, and modifiers.
  • Experience in working with billing software/EMR systems.
  • Good understanding of insurance guidelines, denial management, and payment posting.

Job Type: Full-time

Pay: ₹15, ₹20,000.00 per month

Work Location: In person

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