About Job Role:
● Processing Charge Entry & Payment Posting Entry / Cash Posting transactions in the
revenue cycle software provided by the customer.
● Prepare and submit accurate medical claims to insurance companies.
● Verify patient demographic information and insurance details for each claim.
● Ensure compliance with coding and billing regulations.
● Assign appropriate medical codes to diagnoses and procedures.
● Review medical records to ensure proper documentation for billing purposes.
● Stay updated on coding changes and industry regulations.
● Verify patients' insurance coverage and eligibility.
● Communicate with insurance companies to resolve issues related to claim
denials or delays.
● Respond to inquiries from patients, insurance companies, and internal staff
regarding billing issues.
● Address and resolve billing discrepancies and disputes.
● Post payments received from insurance companies and patients.
● Reconcile accounts and identify and resolve payment discrepancies.
● Generate and analyse reports related to billing and reimbursement.
● Provide regular updates on the status of outstanding claims.
Qualifications:
● Bachelor's degree in any stream or equivalent work experience.
● Strong understanding of medical billing processes, codes, and regulations.
● Proven experience in medical billing.
● Excellent communication and interpersonal skills.
Compensation
● As per Industry standards