Coding Specialist _ Pain Management

4 - 6 years

4 - 6 Lacs

Posted:6 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Title Insurance Verification & ASC Billing / Coding Specialist Pain Management Location Bengaluru – Work From Office Work Schedule US Dallas Time Zone (CST) Employment Type Full-time Compensation Up to 60,000 per month Notice Period Immediate joiners or candidates with notice period 30 days preferred Job Description GrowBeyond Tech Pvt. Ltd. (GBT) is seeking an experienced Insurance Verification & ASC Billing/Coding Specialist to support US-based provider operations. This role requires strong hands-on expertise in insurance eligibility & benefits verification, prior authorizations, and ASC billing/coding, with mandatory experience in Pain Management. Key Responsibilities Insurance Verification & Authorizations • Perform US insurance eligibility and benefits verification for pain management and surgical procedures • Verify ASC benefits, deductibles, co-pay, co-insurance, out-of-pocket limits, and coverage exclusions • Handle prior authorizations for pain management and surgical procedures • Validate payer-specific rules for pain management procedures • Accurately document verification and authorization details in EMR / PM systems ASC Billing & Coding Support • Support ASC billing workflows for pain management cases • Review and validate CPT, ICD-10-CM, and HCPCS codes • Ensure compliance with ASC billing guidelines, CMS rules, and payer policies • Perform charge review and pre-bill validation to prevent billing errors Compliance & Operations • Adhere to SOPs, SLAs, and quality benchmarks • Maintain compliance with HIPAA and US payer regulations • Participate in quality audits and process improvement initiatives Required Skills & Experience • 2–5 years of experience in US healthcare provider operations • Mandatory: 1+ year of hands-on Pain Management experience • Strong experience in Insurance Eligibility & Benefits Verification • Mandatory experience in Prior Authorizations • Working knowledge of ASC billing and coding • Practical understanding of CPT, ICD-10-CM, HCPCS • Experience with EMR / PM systems such as eClinicalWorks (eCW), HST, or similar • Experience with US Commercial payers, Medicare, and Medicaid • Willingness to work US Dallas (CST) shift from Bengaluru office Preferred • Experience supporting Ambulatory Surgery Centers (ASC) • CPC / COC / CCS certification (good to have, not mandatory)

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