Medical Billing Specialist

Hiring Open for:

• AR Follow Up
• Denial management
• Charge Posting
• Payment Posting
• AR Reconciliation
• Credentialing & Contracting

Job description

 Should have minimum of 6 months to 2 years’ experience

 Ability to work under minimum supervision and demonstrate strong initiative.

 Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes

that eliminate redundancy.

 Ability to conceptualize workflow, develop plans, and implement appropriate actions.

 Ability to communicate effectively in writing, over the telephone, and in person.

 Skill in establishing and maintaining effective working relationships with other employees,

middle and senior management in the organization.

 Proficient in Microsoft Office, including Outlook, PPT, Word, and Excel

Job Responsibilities

 Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and

follow up on outstanding Accounts Receivable

 To prioritize the pending claims for calling from the aging bucket. Should be able to convince

the claims company (payers) for payment of their outstanding claims.

 To check the appropriateness of the insurance information given by the patient if it is

inadequate or unclear.

 To make a physical call by following the international norms and applicable rules for

confidentiality and HIPAA compliance

 Escalate difficult collection situations to management in a timely manner.

 Should have basic knowledge of the entire Revenue Cycle Management (RCM)

 Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on

the same

Other Job Duties include

 Examine denied and underpaid claims to determine the reason for discrepancies.

 Communicate directly with payers to follow up on outstanding claims, file technical appeals,

resolve payment variances, and ensure timely reimbursement.

 Ability to identify with specific reason underpayments, denials, and cause of payment delay.

 Works with management to identify, trend, and address the root causes of issues in the A/R.

 Maintain a thorough understanding of federal and state regulations, as well as payer-specific

requirements and take appropriate action accordingly.

 Document activity accurately including contact names, addresses, phone numbers, and

other pertinent information.

 Demonstrate initiative and resourcefulness by making recommendations and communicating

trends and issues to management.

 Needs to be a strong problem solver and critical thinker to resolve accounts. Must meet

productivity and quality standards.

 Performs other duties as assigned.

Job Type: Full-time

Pay: Up to ₹40,000.00 per month

Work Location: In person