Medical Billing Specialist

Location: Noida

About Us: We are a leading healthcare services provider dedicated to ensuring seamless medical billing processes for healthcare facilities across the globe. Our mission is to optimize revenue cycles, alleviate administrative burdens, and enhance the overall efficiency of healthcare practices.

Job Description:

As a Medical Billing Specialist, you will play a crucial role in facilitating the accurate and timely processing of medical claims, ensuring compliance with regulatory standards, and maximizing revenue for our clients. This position requires a keen attention to detail, strong analytical skills, and the ability to navigate complex medical billing systems with precision and efficiency.

Responsibilities:

1. Claim Processing: Accurately enter and process medical claims, including verifying patient demographics, insurance information, and medical codes to ensure compliance with billing regulations and maximize reimbursement.
2. Insurance Verification: Verify insurance coverage and patient eligibility, including pre-authorizations and referrals, to facilitate smooth claim processing and minimize payment delays.
3. Coding Compliance: Review medical records and assign appropriate diagnostic and procedural codes based on established coding guidelines (ICD-10, CPT, HCPCS), ensuring accuracy and compliance with regulatory requirements.
4. Billing Inquiries: Respond to inquiries from patients, insurance companies, and healthcare providers regarding billing issues, insurance coverage, and claim status, providing timely and professional assistance to resolve problems and maintain positive relationships.
5. Revenue Cycle Management: Collaborate with internal teams to optimize revenue cycle management processes, identify areas for improvement, and implement strategies to enhance billing efficiency and financial performance.
6. Documentation and Reporting: Maintain accurate and detailed records of billing activities, including claim submissions, payments, denials, and appeals, and generate reports to track key performance indicators and revenue metrics.
7. Compliance and Quality Assurance: Stay updated on changes in healthcare regulations, billing guidelines, and coding requirements, ensuring adherence to industry standards and best practices to minimize compliance risks and maintain data integrity.

Qualifications:

• Education: A bachelor's degree in healthcare administration, medical billing and coding, or a related field is preferred. Relevant certifications (e.g., CPC, CPB) a plus.
• Experience: Previous experience in medical billing, coding, or healthcare administration preferred. Freshers with strong analytical skills and a willingness to learn are also encouraged to apply.
• Technical Skills: Proficiency in medical billing software and electronic health records (EHR) systems—knowledge of medical coding systems (ICD-10, CPT, HCPCS) and insurance billing procedures.
• Communication Skills: Excellent verbal and written communication skills, with the ability to effectively communicate with diverse stakeholders and professionally resolve billing inquiries.
• Attention to Detail: Strong attention to detail and accuracy in data entry and documentation, with the ability to identify discrepancies and reconcile billing records efficiently.
• Problem-Solving Abilities: Strong analytical and problem-solving skills, with the ability to troubleshoot billing issues, resolve payment discrepancies, and implement effective solutions.
• Team Player: Ability to collaborate effectively with cross-functional teams, including billing specialists, healthcare providers, and insurance representatives, to achieve common goals and deliver high-quality services.

Apply Now: If you are passionate about healthcare administration and have the skills and qualifications to excel in a dynamic medical billing environment, we invite you to click the "Apply For Job" button below to submit your application. Join us in our mission to streamline healthcare revenue cycles and positively impact the healthcare industry. We welcome applicants of all ages, genders, and backgrounds to apply for this exciting opportunity.