We are looking for a skilled and detail-oriented Medical Billing Executive with a minimum of 2 years of experience in US Healthcare Revenue Cycle Management (RCM). The ideal candidate will be responsible for handling end-to-end billing activities, ensuring accurate claim submission, payment posting, and resolution of denials to support a smooth revenue cycle process.
Key Responsibilities
- Prepare, review, and submit clean claims to insurance companies electronically and via paper.
- Perform charge entry, payment posting, and reconciliation accurately and within defined timelines.
- Work on claim edits, rejections, and follow up with insurance payers for claim status.
- Manage denials and underpayments; take corrective actions to resolve and resubmit claims.
- Review patient demographics, insurance eligibility, and benefits verification to avoid claim rejections.
- Maintain accurate billing records, EOBs/ERAs, and reconcile accounts daily.
- Collaborate with AR, coding, and clinical teams for smooth resolution of billing issues.
- Meet productivity and quality benchmarks consistently.
- Stay updated with payer rules, compliance requirements, and industry standards.
Required Skills & Qualifications
- Minimum 2 years of hands-on experience in US Healthcare Medical Billing.
- Strong knowledge of CPT, ICD-10, HCPCS codes, and modifiers.
- Experience in working with billing software/EMR systems.
- Good understanding of insurance guidelines, denial management, and payment posting.
Job Type: Full-time
Pay: ₹15,000.00 - ₹20,000.00 per month
Work Location: In person