About Job Role
- Processing Charge Entry & Payment Posting Entry / Cash Posting transactions in the
revenue cycle software provided by the customer.
- Prepare and submit accurate medical claims to insurance companies.
- Verify patient demographic information and insurance details for each claim.
- Ensure compliance with coding and billing regulations.
- Assign appropriate medical codes to diagnoses and procedures.
- Review medical records to ensure proper documentation for billing purposes.
- Stay updated on coding changes and industry regulations.
- Verify patients insurance coverage and eligibility.
- Communicate with insurance companies to resolve issues related to claim
denials or delays.
- Respond to inquiries from patients, insurance companies, and internal staff
regarding billing issues.
- Address and resolve billing discrepancies and disputes.
- Post payments received from insurance companies and patients.
- Reconcile accounts and identify and resolve payment discrepancies.
- Generate and analyse reports related to billing and reimbursement.
- Provide regular updates on the status of outstanding claims.
Qualifications
- Bachelor's degree in any stream or equivalent work experience.
- Strong understanding of medical billing processes, codes, and regulations.
- Proven experience in medical billing.
- Excellent communication and interpersonal skills.
Compensation
- As per Industry standards
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