Job PurposeTo ensure accurate and timely processing of medical claims, insurance verification, and resolution of billing issues while maintaining compliance with healthcare billing regulations. The role supports efficient revenue cycle management and contributes to the financial success of healthcare providers.Educational Qualification
Education : Any Graduate
Required Skills
- 1-2 years of hands-on experience in Medical Billing, Insurance Verification, and Charge Entry.
- Good understanding of Healthcare Revenue Cycle Management (RCM).
- Working knowledge of insurance eligibility verification, claims processing, and denial management.
- Proficiency in MS Excel and computer applications.
- Excellent communication and interpersonal skills.
- Ability to work independently and manage assigned tasks effectively.
Key Responsibilities
- Ensure accurate and timely submission of insurance claims for billing and reimbursement purposes.
- Perform insurance eligibility and benefits verification.
- Coordinate CPT and ICD coding-related activities to support accurate claim processing.
- Handle charge entry and claim review activities.
- Provide patient billing support and address billing-related inquiries.
- Follow up on Accounts Receivable (AR), including denied, rejected, and unpaid claims.
- Investigate and resolve billing discrepancies and insurance claim issues.
- Maintain confidentiality of patient information and ensure compliance with HIPAA regulations.
- Meet productivity and quality standards established by the organization.
- Document work accurately and maintain updated records.
- Participate in ongoing training, process improvement initiatives, and professional development programs.
Key Competencies
- Attention to Detail
- Analytical Thinking
- Problem-Solving Skills
- Customer Service Orientation
- Effective Communication
- Team Collaboration
- Time Management
- Adaptability and Learning Agility
Preferred Knowledge :
- Medical Terminology
- CPT, ICD-10, and HCPCS Coding Concepts
- Insurance Verification and Authorization Processes
- Claims Submission and Denial Management
- Healthcare Revenue Cycle Management (RCM)
- HIPAA Compliance Requirements
Pay: ₹10,615.14 - ₹30,000.00 per month
Work Location: In person
