Billing Healthcare Specialist

1 - 6 years

2 - 6 Lacs

Posted:4 weeks ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Greetings !!!

About the Role

The ideal candidate will have hands-on experience in charge posting, payment posting, AR follow-up, eligibility verification, and payer communications.

Key Responsibilities

  • Manage medical billing operations for Family Practice and multiple specialties.
  • Perform eligibility and benefits verification for patients.
  • Handle charge posting to various payers including Medicare, Medicaid, Managed Care, and commercial payers.
  • Execute cash/payment posting accurately and on time.
  • Manage pre-authorization processes and verify authorizations.
  • Prepare, review, and submit claims; manage appeals and perform reconciliations.
  • Ensure accurate coding and billing practices in coordination with coding and clinical teams.
  • Track reimbursement trends and highlight discrepancies or payment delays.
  • Handle Month-End Close activities.
  • Conduct Accounts Receivable (AR) and Aging Analysis across all payer types.
  • Manage EFT/ERA enrollments through clearinghouses.

Location : Ahmedabad

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