Sr. Billing Executive

2 days ago


Ahmedabad, Gujarat, India Pinnacle Placements Full time

Key Responsibilities

  • Prepare, review, and submit medical claims to insurance companies (electronic and paper)
  • Verify patient insurance coverage, eligibility, and benefits
  • Assign accurate medical codes (CPT, ICD-10, HCPCS) based on clinical documentation
  • Ensure claims comply with payer guidelines and regulatory requirements
  • Identify and correct billing errors and resubmit claims as needed
  • Maintain accurate billing records and documentation
  • Ensure compliance with HIPAA and healthcare regulations

Required Skills & Competencies

  • Strong knowledge of medical billing processes and revenue cycle management (RCM)
  • Familiarity with CPT, ICD-10, and HCPCS coding standards
  • Experience with insurance portals and clearinghouses
  • Attention to detail and strong analytical skills
  • Proficiency in medical billing software and MS Office
  • Good communication and problem-solving skills
  • Ability to manage multiple tasks and meet deadlines

Qualifications

  • Graduate or equivalent (Healthcare, Life Sciences, or related field preferred)
  • 1–3 years of experience in medical billing or related RCM role (freshers with training may apply)
  • Knowledge of US healthcare insurance (Medicare, Medicaid, Commercial payers) preferred

Work Environment

  • Full-time position
  • Office / Remote / Hybrid (as applicable)
  • Day/Night shift depending on client requirements

Performance Metrics

  • Claim acceptance rate
  • Denial and rejection rate
  • Turnaround time (TAT)
  • Compliance and audit accuracy

Job Types: Full-time, Permanent

Benefits:

  • Food provided
  • Health insurance
  • Paid sick time
  • Provident Fund

Work Location: In person


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