I Medical Billing Executives I

Medical Biller

Summary

GM Analytics Solutions is looking for a driven, dedicated and experienced Medical Biller , proficient in US healthcare, who are comfortable working in Night shift(US time )

Job Description

• Minimum 1-3 years experience is required in Medical Billing for US Healthcare mandatory minimum 1 year in Charge entry
• Responsible for making billing charge entry for compiling billing information, assisting with coding and ensuring all charges are posted accurately and timely.
• Work in teams that process medical billing transaction and strive to achieve team goal.
• Accurate processing and completion of medical claims.
• Evaluates medical records for consistency and adequacy of documentation
• Extracts information from medical records, operative notes, hospital admissions, consults, progress notes and discharge to ensure completeness and accuracy.
• Should have complete knowledge on both Demos and charge entry.
• Demographic and charge entry into the software system correcting and resubmitting claims as applicable
• Should have knowledge on basis ICDs and CPT codes structure.
• Expertise into physician/ hospital billing provider side.
• Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on the same.
• Coordinates with US clinic and with Central Billing Office billing questions and missing charges for the monthly billing cycle
• Ability to understand CPT and Diagnosis combination to bill insurance
• Maintain regular billing records by practice, provider and provide reports as needed
• Verify Insurance either by Insurance portal or by calling insurance companies
• Maintains compliance standards as per the policies and reports compliance issues as required.
• Good Knowledge and understanding of Human Anatomy.
• Proficiency in Microsoft office tools
• Willingness to work the night shift

Education/Experience Requirements:

Qualifications:

• Graduate/Masters degree in the related field
• Minimum 1-3 years of experience of medical billing with healthcare billing and/or physician office billing insurance verification with a focus on US healthcare revenue cycle management
• Ability to coordinate with US clinic and Central billing office in the US to clear all outstanding. Capability to converse clearly and precisely with US counterpart either by phone or by email
• Understanding of CPT codes and diagnosis codes
• Excellent computer skills
• Excellent written and verbal communication skills
• Excellent management skills
• Excellent Analytical Skills.
• Advanced computer skills in MS Office Suite, pMD soft, Acumen, Athenahealth, and other applications/systems preferred

Salary BOE

GM Analytics and RCO Analytics is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status, or any other protected factor.

Job Type: Full-time

Competency Requirements:

Must possess the following knowledge, skills & abilities to perform this job successfully:

• Broad understanding of clinical operations, front office, insurance and authorizations
• Ability to communicate effectively and clearly with all internal and external customers
• Detail-oriented with excellent follow-up.
• Solutions-minded, compliance-minded and results-oriented.
• Excellent planning skills with the ability to define, analyze and resolve issues quickly and accurately
• Ability to juggle multiple priorities successfully.
• Extremely strong organizational and communication skills.
• High-energy, a hands-on employee who thrives in a fast-paced work environment.
• Familiar with standard concepts, practices, and procedures within the field.
• Ability to work in a fast-paced, result-driven, and complex healthcare setting.
• Ability to meet strict deadlines and communicate timelines
• Takes a sense of ownership
• Capable of embracing unexpected change in direction or priority.
• Highly motivated to solve problems; proven troubleshooting skills and ability to analyze problems by type and severity

Work Environment:

• Extensive telephone and computer usage.
• Use of computer mouse requires repetitive hand and wrist motion.
• Time off restricted during peak periods.
• Regular reaching, grasping and carrying of objects

This position may be modified to reasonably accommodate an incumbent with a disability. This job requires the ability to work with others in a team environment, the ability to accept direction from superiors and the ability to follow Company policies and procedures. Regular, predictable and dependable attendance is essential to satisfactory performance of this job.