Posted:5 days ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Position Overview:


Key Responsibilities:

  • Billing and Claims Processing:

    • Prepare and submit accurate insurance claims to various payers, including Medicare, Medicaid, and private insurance companies.
    • Review and verify patient information and billing codes to ensure accuracy and compliance with regulatory requirements.
    • Monitor and follow up on unpaid or denied claims, correcting and resubmitting them as necessary.
    • Maintain detailed records of billing activities and transactions.
  • Analytical and Reporting Responsibilities:

    • Generate detailed reports on billing activities, accounts receivable, and revenue cycles for management review.
    • Analyze billing data to identify trends, areas for improvement, and potential issues.
    • Develop and implement strategies based on data analysis to enhance billing processes and reduce errors.
    • Conduct financial analysis and modeling to support strategic decisions.
  • Patient Account Management:

    • Manage patient accounts, including sending invoices, processing payments, and resolving billing inquiries.
    • Assist patients in understanding their bills, insurance coverage, and payment options.
    • Negotiate payment plans with patients when necessary and follow up on outstanding balances.
  • Compliance and Documentation:

    • Stay current with industry regulations, insurance guidelines, and coding practices to ensure compliance.
    • Maintain accurate and up-to-date patient records, including all billing-related documentation.
    • Conduct regular audits of billing activities to identify and correct any discrepancies.
  • Coordination with Other Departments:

    • Collaborate with healthcare providers, coding specialists, and administrative staff to ensure accurate billing and efficient workflow.
    • Provide support to the finance team with month-end closing processes and financial reporting.
  • Technology and System Management:

    • Utilize billing software and electronic health record (EHR) systems to manage billing processes.
    • Ensure all billing systems are updated and functioning correctly.
    • Leverage analytical tools and software to improve data accuracy and process efficiency.
  • Qualifications:

    • Education:

      • Bachelor’s degree in Finance, Accounting, Business Administration, Data Analytics, or a related field. Relevant work experience may be considered in lieu of a degree.
    • Experience:

      • Minimum of 1 to 3 years of experience in healthcare billing or medical billing with a strong focus on data analysis.
      • Familiarity with ICD-10, CPT coding, and medical terminology.
      • Proven experience with electronic health records (EHR) and billing software systems.
      • Demonstrated experience in financial analysis and data-driven decision making.

        Job Location:

        Bangalore ,Work From Office

        Interested can apply to nanda.k@telradsol.com

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