Job
Description

Experience with in hospital billing (UB -04)
with IPA & Commercial claims processing

At least 2 years of experience in hospital
billing & Proficient in Payment systems

Comprehensive knowledge of Under payment &
Over Payment scenarios,

Manage high -value and aged accounts receivable
claims while ensuring accurate documentation in billing systems.

Achieve daily productivity and quality
standards while adhering to HIPAA regulations and payer guidelines.

Job
Requirements

Experience with hospital billing
(UB -04) with IPA & Commercial claims processing

Robust knowledge in




inpatient (IP) and outpatient (OP) billing workflows, denial
management and appeals process

At least 2 years of experience in
medical billing, specializing in Payment systems and contract sheet validation
(IPPS & OPPS, APC Fees Schedule, DRG & APRDRG)

Proficient
in Revenue codes, and HCPCS denial, with a comprehensive understanding of
reimbursement methodologies, bundled payments, Case rate concepts, Payment
variance identification

Experience
in working with EMR / Practice Management Systems and ability to work on aged
AR and high -value accounts