Mohali, Punjab
INR Not disclosed
On-site
Full Time
Roles and Responsibilities: 1. This position will oversee coding activities to ensure customer service and quality expectations are met. 2. Primary contact for coding questions relating to Client Services and Operations. Review reports to identify specific issues, investigate and correct them as per the coding guidelines, and implement solutions. 3. Identify issues and proactively plan on the resolution for clients and accounts. 4. Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies. Review and report on process updates and team metrics with the management team. 5. Review provider claims that have not been paid by insurance companies. 6. Handling patients' billing queries and updating their account information. Skills required: 1. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on denials. 2. Understand the Revenue Cycle Management of US Health Care. 3. Good Knowledge of Denials and immediate action to resolve them. 4. In-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT & Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology and anatomy and 5. physiology. 6. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Role: Medical Biller / Coder Industry Type: Medical Services / Hospital (Diagnostics) Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate Key Skills: E/M, HCPCS, Medical Coding Job Types: Full-time, Permanent Schedule: Day shift Morning shift Rotational shift Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Coding: 2 years (Required) total work: 3 years (Required) License/Certification: AAPC (Required)
Mohali, Punjab
None Not disclosed
On-site
Full Time
Job Title: Medical Biller - Accounts Receivable (AR) Company: 5Tek Medical India Private Limited Location: Mohali, Punjab (On-site) Shift: Night Shift (US Hours) Experience Level: 2+ years (preferred) Job Description: We are looking for an experienced and proactive Medical Biller - AR with expertise in physician billing to join our dynamic team. The role is integral to ensuring accurate billing processes, timely claim follow-ups, and optimizing revenue cycle management. Roles and Responsibilities: Accurately review and resubmit medical claims to insurance companies. Address claim denials and rejections promptly to ensure maximum revenue collection. Proactively follow up on outstanding claims with payers and patients to expedite resolutions. Investigate and resolve discrepancies or denials to maintain a smooth billing cycle. Answer billing-related queries via phone and messaging platforms (e.g., Klara) with professionalism and empathy. Assist patients in understanding their bills, resolving issues, and managing payment plans. Verify and update demographic, guarantor, and insurance information to ensure accurate billing. Maintain meticulous records and documentation for audit and compliance purposes. Adhere to HIPAA guidelines and payer-specific billing requirements. Collaborate with team members to report on claim statuses, billing trends, and resolutions. Required Qualifications and Skills: · Minimum of 2 years' experience in medical billing, AR follow-up, and patient communication in the US healthcare system. · Proficiency in medical billing software (Athena Health Net experience preferred). · Strong knowledge of insurance guidelines, CPT/ICD-10 codes, and medical terminology. · Ability and willingness to consistently work the Night Shift (US Hours). · Excellent verbal and written communication skills in English, with the ability to understand and respond to US accents. · Empathy and professionalism in handling sensitive patient interactions. · Familiarity with insurance policies specific to Maryland and Virginia (preferred). · Strong analytical and problem-solving abilities. · Knowledge of MS Office (Excel, Word) Education: · Graduate in any discipline (Required). · Certification in Medical Billing or related healthcare training (Preferred). Why Join Us? · Opportunity to work with a US-based healthcare company. · Exposure to advanced medical billing systems and processes. How to Apply: Interested candidates can apply by sending their updated resume to recruitmentindia@5tekmedical.com or calling 9056710352. Let’s shape the future of healthcare management together! #MedicalBiller #AccountsReceivable #PatientEngagement #NightShift #USHealthcareJobs Job Type: Full-time Benefits: Health insurance Leave encashment Paid sick time Provident Fund Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Required) Experience: AR: 2 years (Required) Location: Mohali, Punjab (Required) Shift availability: Night Shift (Required) Work Location: In person
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