01 Aug
|
Enterprise Mangement Solutions
|
Delhi
01 Aug
Enterprise Mangement Solutions
Delhi
DISCLOSURESThe specific statements shown in each section of this scope of work are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the contracted services successfully. The scope of responsibilities/tasks may be modified and/or expanded over time based on client needs and contractual requirements. The Company will inform the contractor when material changes are made to this scope of work.ABOUT FREEDOM HEALTH SYSTEMS, INCFreedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices—empowering them to deliver high-quality, person-centered care to their communities.While we do not provide direct healthcare services, Freedom Health Systems plays a vital role behind the scenes by strengthening organizational infrastructure, supporting service expansion, and helping our partners lead with innovation and integrity. Our expertise spans a wide range of operational services, including revenue cycle management, prior authorization, virtual front office support, medical billing and coding, human resources, and compliance consulting.At Freedom Health Systems, we are deeply committed to breaking down barriers in the behavioral health space, with a particular focus on serving marginalized and underserved populations. Our team fosters a collaborative, forward-thinking work environment where every contractor and team member contributes to advancing impactful, community-based care.Medical Billing & Coding Analyst 3 (Team Lead – Team C)India (Remote)This is an India-based independent contractor engagement;NOT a U.S.-based position, and compensation is paid in Indian Rupees (INR), not U.S. dollars.COMPANY WEBSITE: PHONE NUMBER: ************HUMAN RESOURCES DEPARTMENT PHONE NUMBER: *******************HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: ****** TITLE: Medical Billing & Coding Analyst 3 (Team Lead – Team C)ALTERNATE TITLE(S): Lead Medical Billing & Coding Analyst, Revenue Cycle Team Lead (Contractor), Billing & Coding Oversight LeadCOMPANY: Freedom Health Systems, Inc. (in support of all customer companies under contract)DIVISION:Accounting & FinanceDEPARTMENT: Accounts ReceivablesUNIT: Medical Billing & Coding (Revenue Cycle Management Services)BENEFITS PACKAGE: Ineligible / Not Applicable (Independent Contractor)WORK SCHEDULE: Monday – Friday, 8:00 AM EST – 5:00 PM EST(or as otherwise agreed in writing, aligned to U.S. Eastern Time business hours)ACCOUNTABLE TO: Accounts Receivables Department ManagerACCOUNTABLE FOR:End-to-end revenue cycle billing integrity for assigned outpatient mental health center client(s), including:Ensuring all required documentation is entered and completeEnsuring all billable services are captured, coded, billed, and submittedEnsuring billed services are adjudicated and paid accuratelyProviding functional oversight of Team C billing resources (Medical Biller & Coder 5 and Medical Biller & Coder 6)Coordinating with Prior Authorization and client operational leadership to reduce revenue leakage and denialsCLASSIFICATION: W8BEN (Independent Contractor)COMPENSATION RANGE: ₹500 – ₹625 INR per hour (this is not USD)Equivalent to approximately USD $6.00–$7.50 per hour, based on experience and credentials.ANTICIPATED TRAVEL: NoneSCOPE OF ASSIGNMENTThis scope of work applies to Team C, supporting one or more outpatient mental health center clients. The Team Lead is responsible for ensuring services are properly documented, authorized (when required), coded, billed, followed through adjudication,
and reconciled through payment, as part of revenue cycle management services.SUPERVISORY SCOPE (FUNCTIONAL / CONTRACTUAL):Within the scope of this engagement, the Team Lead will provide day-to-day functional oversight, workflow coordination, coaching, and quality review for:Medical Biller & Coder 5Medical Biller & Coder 6This functional oversight is limited to contracted service execution and does not include employment/HR authority.SUMMARY OF POSITION RESPONSIBILITIESThe Medical Billing & Coding Analyst 3 (Team Lead – Team C) provides advanced billing, coding, and revenue cycle oversight services for outpatient mental health center clients. The Team Lead ensures that documentation supports services rendered, all billable services are captured and submitted, and claims are accurately adjudicated and paid.This role performs continuous analysis of billing and payment activity, identifies gaps (missing documents, missed charges, denials, underpayments, no-pay claims), and coordinates timely resolution. The Team Lead collaborates with the Prior Authorization Unit, Accounts Receivables leadership, and operational management of client companies to ensure alignment across authorization, documentation, billing, and reimbursement.SCHEDULED DUTIES AND RESPONSIBILITIESPerform and oversee billing and coding in compliance with CPT, ICD-10-CM, HCPCS, and payer-specific billing rulesReview documentation to confirm medical necessity support and correct code assignment prior to claim submissionEnsure all required clinical and administrative documentation is entered into the EHR prior to billing (e.g., signed notes, treatment plans, required forms, demographics/insurance data)Ensure all billable services are captured and billed, including identification and correction of missed chargesOversee claim submission processes to ensure timely, accurate, and compliant claim filingAnalyze biller work output and billing queues for completeness, accuracy, and timelinessMonitor claim status, rejections, denials, and payer correspondence; coordinate corrections and resubmissionsReconcile payments to billed services and contracted rates; identify and escalate underpayments, no-pay claims, and payment discrepanciesLead Team C workflow: assign daily work, manage throughput, and ensure consistent execution across Medical Biller & Coder 5 and Medical Biller & Coder 6Conduct routine quality assurance reviews of team output; document findings and provide corrective coachingTrack and report revenue cycle risks (documentation gaps, authorization gaps, denial trends, aging A/R) to the Accounts Receivables Department ManagerCollaborate with the Prior Authorization Unit to ensure services billed are authorized where required and align with approved service periods and unitsCollaborate with operational management of the client companies to resolve documentation delays, clinical workflow gaps, scheduling/billing mismatches, and process barriers impacting reimbursementMaintain accurate internal trackers, reconciliation logs, and audit-ready records as required by the CompanyUNSCHEDULED DUTIES AND RESPONSIBILITIESAssist the Accounts Receivables Department Manager with escalations, special projects, and revenue cycle improvement initiatives as requestedSupport internal and external audits (payer audits, compliance reviews) by producing billing support, reconciliation documentation,
and QA evidenceParticipate in cross-training activities and cover essential functions during team absences or high-volume periodsContribute to performance improvement plans related to denial reduction, A/R reduction, clean claim rate improvement, and documentation completenessMaintain strict confidentiality of PHI and financial information and comply with all security requirementsMaintain awareness of relevant regulations, payer policy changes, and company procedures impacting billing operationsKEY PERFORMANCE INDICATORS (KPIs)Contract effectiveness and service quality will be measured using, but not limited to, the following KPIs:Billing Accuracy Rate (target ≥ 98%)Charge Capture Completeness (all documented services billed; missed-charge rate minimized)Documentation Completeness Rate (required billing documents present before submission)Clean Claim Rate (low rejection rate at clearinghouse/payer)Denial Rate and Denial Resolution TimelinessDays in Accounts Receivable (A/R) and aging distribution (e.g., % > ***** days)Payment Reconciliation Accuracy (payments match billed services and expected rates)Underpayment Identification & Recovery Rate (where applicable)Authorization-to-Billing Alignment (when prior auth required)Team C Throughput & Turnaround Time (claims submission and follow-up SLAs)Audit Findings / Error Reduction Trend (month-over-month improvement)Client Operational Satisfaction (responsiveness, clarity, issue resolution quality)TECHNOLOGY, DATA SECURITY & MONITORING REQUIREMENTSAll work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.Use of personal devices for performing contracted services, local storage, screenshots, external email forwarding, or external systems is strictly prohibited unless explicitly authorized in writing.The Amazon Workstation setting will be monitored by the Company for security, compliance, productivity, and quality assurance purposes.The contractor acknowledges that system activity logs, access logs, and usage metrics may be reviewed to ensure compliance with HIPAA, client requirements, and Company policies.Failure to comply with workstation, security, or monitoring requirements may result in immediate termination of the contract.PHYSICAL DEMANDSProlonged periods sitting at a desk and working on a computerFrequent meetings via video or phoneWORKING CONDITIONSRemote (India), performed via assigned Amazon WorkstationFast-paced, deadline-driven revenue cycle environment requiring detailed accuracy and consistent follow-upRegular collaboration across time zones with U.S.-based leadership and client operations teamsCOMPETENCIES AND SKILLSStrong knowledge of U.S. medical billing and coding standards (CPT, ICD-10-CM, HCPCS)Strong understanding of end-to-end revenue cycle management, especially A/R follow-up and payment reconciliationBehavioral health and outpatient mental health billing experience preferredAbility to analyze billing workflows, identify revenue leakage, and implement corrective actionsAbility to oversee, coach, and quality-check biller output consistently (Team C)Strong attention to detail and documentation disciplineExcellent written and verbal English communicationProficiency in EHR systems, billing software, clearinghouses, and payer portalsProfessional, audit-ready work practices and secure handling of PHILEVEL OF EDUCATION / TRAINING / QUALIFICATIONSBachelor's degree or equivalent experience preferredMinimum 3–5 years of U.S. medical billing and coding experiencePrior Team Lead / workflow oversight experience requiredOutpatient mental health billing experience strongly preferredCoding certifications (e.g., CPC, CCS) preferredAbility to pass background and reference checks (as required by client/contract)
📌 Medical Billing And Coding Analyst 3 (Delhi)
🏢 Enterprise Mangement Solutions
📍 Delhi