Position Overview

We are looking for a highly organized, detail-oriented, and proactive Medical Billing, Coding &

Insurance Specialist to join our healthcare operations team. The ideal candidate will be

responsible for ensuring the accurate coding of medical services, efficient billing processes,

timely insurance claim submissions, and prompt reimbursement follow-up. This role is vital in

maintaining a smooth revenue cycle while ensuring compliance with healthcare regulations and protecting patient confidentiality.

The successful candidate should possess a strong understanding of medical coding standards, insurance policies, revenue cycle management (RCM), and healthcare billing procedures, along

with excellent analytical and communication skills.

Key Responsibilities

1. Medical Coding

• Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes to patient diagnoses,

procedures, and services.

• Review physician documentation and medical records to ensure coding accuracy and

completeness.

• Ensure compliance with coding guidelines and payer-specific regulations.

• Identify documentation discrepancies and coordinate with healthcare providers for

clarification when necessary.

2. Medical Billing

• Prepare, review, and submit clean insurance claims electronically and manually.

• Generate patient invoices, billing statements, and payment reminders.

• Ensure all billing information is complete, accurate, and compliant before claim

submission.

• Maintain accurate billing records and supporting documentation.

3. Insurance Verification & Claims Management

• Verify patient insurance eligibility, benefits, coverage, deductibles, co-payments, and

prior authorization requirements.

• Submit insurance claims within payer deadlines to maximize reimbursement.

• Track claim status and monitor pending claims through clearinghouses and payer portals.

• Investigate and resolve rejected, denied, or unpaid claims by identifying root causes and

initiating corrective actions.

• Prepare and submit appeals for denied claims when required.

4.



Payment Processing & Accounts Receivable

• Accurately post insurance and patient payments into the billing system.

• Reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).

• Follow up with insurance companies regarding outstanding claims and payment

discrepancies.

• Monitor Accounts Receivable (AR) aging reports and ensure timely collections.

5. Compliance & Documentation

• Maintain strict compliance with HIPAA, payer guidelines, and applicable healthcare

regulations.

• Safeguard confidential patient information and maintain data integrity.

• Keep accurate records of billing activities, coding updates, claims, and payment

transactions.

• Stay updated with changes in medical coding standards, insurance policies, and

healthcare regulations.

6. Communication & Reporting

• Serve as a professional point of contact for patients, physicians, insurance providers, and

internal departments regarding billing and insurance-related inquiries.

• Prepare regular reports on billing performance, outstanding claims, denial trends,

reimbursements, and collections.

• Support continuous process improvement initiatives to enhance billing efficiency and

reimbursement rates.

Required Qualifications

• Diploma, Bachelor's degree, or professional certification in Medical Billing, Medical

Coding, Healthcare Administration, Health Information Management, or a related field.

• 1–3 years of experience in Medical Billing, Medical Coding, Insurance Claims

Processing, or Revenue Cycle Management (RCM).

Strong knowledge of:

• ICD-10-CM

• CPT

• HCPCS Level II

• Medical terminology

• Insurance verification





• Claims submission and processing

• Payment posting

• Denial management

• Proficiency in Electronic Health Record (EHR), Electronic Medical Record (EMR),

Practice Management Systems, and medical billing software.

• Excellent analytical, problem-solving, and organizational skills.

• High level of accuracy and attention to detail.

• Strong verbal and written communication skills.

• Ability to manage multiple priorities while meeting deadlines.

• Commitment to maintaining patient confidentiality and ethical standards.

Preferred Qualifications

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding

Associate (CCA), or equivalent certification.

• Experience working with US Healthcare, Medicare, Medicaid, and Commercial

Insurance.

• Familiarity with Revenue Cycle Management (RCM) workflows and payer regulations.

• Experience using clearinghouse platforms and healthcare billing applications.

Why Join Us?

• Competitive salary with performance-based incentives.

• Opportunities for professional growth and career advancement.

• Continuous learning and certification support.

• Collaborative and supportive work workplace.

• Exposure to international healthcare billing and coding practices.

• Work with experienced healthcare professionals in a quality-driven organization.

Employment Details

› Position: Medical Billing, Coding & Insurance Specialist

› Department: Healthcare Administration / Revenue Cycle Management

› Employment Type : Full-Time

› Experience: 1–3 Years

Join Our Team

If you are passionate about Healthcare Administration, possess strong expertise in medical billing and coding, and are committed to delivering accuracy and efficiency, we would love to hear from you.

Apply today and become a valuable part of our healthcare operations team.

We are an equal opportunity employer and welcome applications from qualified candidates of allbackgrounds

📌 Medical Billing Specialist (Greater Noida)
🏢 Growth Nest Advisors
📍 Greater Noida