Job Summary
We are looking for an experienced Medical Biller with knowledge of US medical billing processes, including Eligibility & Benefits Verification (EVBV), claim submission, payment posting, accounts receivable (AR) follow-up, and denial management. The role requires accuracy, attention to detail, and understanding of healthcare billing regulations and insurance guidelines.
Key Responsibilities
- Verify patient insurance eligibility, benefits, and authorization requirements.
- Review patient demographics and insurance information for accuracy.
- Prepare, review, and submit clean claims using ICD-10, CPT, and HCPCS codes.
- Monitor claim status and resolve rejections or billing errors.
- Post insurance and patient payments, adjustments, and denials.
- Reconcile payments with EOBs, RAs, and payer statements.
- Follow up on outstanding claims and patient balances.
- Investigate and resolve denied claims through corrections, appeals, and payer communication.
- Maintain accurate billing records and generate reports as needed.
- Stay updated on payer policies, coding updates, and billing regulations.
Qualifications
- Minimum 1-3 years of US Medical Billing experience.
- Knowledge of ICD-10, CPT, and HCPCS coding.
- Experience with EVBV, claim submission, payment posting, AR follow-up, and denial management.
- Familiarity with EMR/EHR systems and medical billing software.
- Understanding of Medicare, Medicaid, and commercial insurance processes.
- Strong communication, analytical, and problem-solving skills.
Preferred Skills
- Denial management and appeals experience.
- Knowledge of Revenue Cycle Management (RCM).
- Ability to manage multiple tasks independently.
Benefits
- Paid Sick Leave
- Career Growth Opportunities
- Professional Development & Training
Job Type: Full-Time
Schedule: Monday–Friday, Day Shift
Pay: ₹15,000.00 - ₹30,000.00 per month
Work Location: In person
