Medical Billing Credentialing Specialist
3 days ago
Company Description
EstraRCM Healthcare Solutions Private Limited specializes in delivering comprehensive revenue cycle management (RCM) services to healthcare providers in the United States, including physician groups, clinics, ABA practices, ambulatory surgery centers, and hospital-based practices. Our services cover the entire revenue cycle, ranging from patient access and charge capture to coding, claim submission, denial management, and payer credentialing. Through an expert team, advanced analytics, and software consultation, we ensure faster reimbursements, reduced denials, and improved cash flow. Our mission is to enable healthcare providers to focus on quality patient care while we manage their financial operations.
Role Description
This is a full-time on-site position for a Medical Billing Credentialing Specialist located in Kochi. The Specialist will be responsible for managing the payer credentialing process, ensuring compliance with insurance requirements, and handling denials effectively. Daily tasks include verifying insurance information, handling credentialing applications, monitoring claims status, collaborating with insurance providers, and working on revenue cycle improvements.
Qualifications
- Strong knowledge of medical terminology and ICD-10 coding
- Experience managing denials and familiarity with claim submission processes
- Understanding of insurance protocols and experience working with Medicare
- Excellent communication and organizational skills to manage credentialing applications
- Attention to detail and the ability to analyze and resolve billing issues
- Proficient in relevant medical billing software and systems
- Prior experience in revenue cycle management or healthcare billing is a plus
- Bachelor's degree or relevant certification in healthcare administration, medical billing, or a related field
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