Sr. Billing Executive
2 days ago
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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