MEDICAL BILLING AND ORDER PROCESSING POSITION
We are hiring a skilled Medical Billing and Order Processing Executive with hands-on experience in US Medical Billing, Accounts Receivable (AR) Follow-Up, Denial Management, Insurance Claims Processing, and Order Processing for US healthcare providers. The candidate will be responsible for resolving unpaid claims, handling denials, processing orders, and ensuring maximum reimbursement within timelines.
Key Responsibilities:
- Perform AR Follow-Up on unpaid and aging claims with US insurance companies.
- Analyze and resolve claim denials and rejections.
- Work on appeals, reconsiderations, and claim resubmissions.
- Handle EOBs/ERAs and identify denial reasons.
- Follow up via calls and emails with US insurance payers such as Aetna, BCBS, UHC, Medicare, and Medicaid.
- Ensure timely claim resolution and reduce AR aging (30/60/90+ days).
- Post payments and adjustments accurately in billing systems.
- Coordinate with the coding team for CPT, ICD-10, and HCPCS corrections.
- Process customer and healthcare-related orders accurately and maintain records.
- Maintain productivity, quality, and compliance targets.
Required Skills & Qualifications:
- 3–5 years of experience in US Medical Billing – AR / Denials / RCM.
- Strong knowledge of US insurance payers, claim lifecycle, and revenue cycle management (RCM).
- Experience handling commercial and government payers (Medicare/Medicaid).
- Good understanding of denial codes, claim status, and reimbursement processes.
- Excellent communication skills for the US calling process.
- Comfortable working in night shift / US shift.
- Basic knowledge of MS Excel, billing software, and medical billing tools.
Preferred Skills:
- Familiarity with EMR/EHR systems such as Kareo, eClinicalWorks, AdvancedMD, etc.
- Ability to meet daily calling, collection, and order processing targets.
- Strong attention to detail and problem-solving skills.
Pay: ₹30,000.00 - ₹50,000.00 per month
Benefits:
- Leave encashment
- Paid sick time
- Paid time off
Work Location: In person
