Medical Billing Expert // Onsite (Hyderabad) // 7KingsCode

Position Title: Medical Billing Expert

Department: Revenue Cycle Management

Reports To: Director of Operations / COO

Position Overview

Med Tek is seeking a highly experienced and detail-oriented Medical Billing Expert to oversee and execute the full revenue cycle process. This role is responsible for ensuring maximum reimbursement, minimizing denials, accelerating collections, and maintaining strict compliance with Medicare, Medicaid, and commercial payers.

This is a high-performance position requiring deep knowledge of RCM, payer policies, denial management, and regulatory compliance.

Key Responsibilities

Manage end-to-end billing operations (charge entry submission payment posting AR follow-up)

Submit clean claims to Medicare, Medicaid, and commercial payers

Analyze and resolve claim denials (L3, ADRs, suppressed payments, etc.)

Handle appeals, redeterminations, and reopening requests

Monitor clearinghouse rejections and correct claims timely

Conduct insurance eligibility and benefits verification oversight

Reconcile ERA/EOB payments and post accurately

Monitor aging reports and reduce AR > 60/90 days

Work closely with providers to ensure accurate documentation for billing

Ensure compliance with CMS, HIPAA, and payer guidelines

Maintain KPI dashboards (collection rate, denial rate, AR days, etc.)

Required Qualifications

7+ years experience in medical billing (Medicare-heavy experience required)

Strong knowledge of CMS guidelines and commercial payer rules

Experience handling ADR submissions and appeals

Proficiency in EMR/EHR systems and clearinghouses

Deep understanding of CPT, HCPCS, ICD-10

Ability to manage high claim volume with accuracy

Strong analytical and problem-solving skills

Preferred

Experience in urgent care, wound care, lab, or specialty practices

Familiarity with PECOS, I&A, IVR systems

Experience managing multi-location practices.