Billing Responsibilities
- Prepare and submit medical claims to insurance companies using billing software.
- Ensure patient demographic and insurance details are accurate before claim submission.
- Review claims for completeness and compliance before submitting to clearinghouses.
- Maintain accurate billing records and documentation.
AR Responsibilities
- Follow up with insurance companies regarding unpaid or denied claims.
- Analyze EOB (Explanation of Advantages) and ERA (Electronic Remittance Advice) to identify claim status.
- Identify denial reasons and assist in resubmitting corrected claims.
- Coordinate with internal teams to resolve billing discrepancies.
Additional Responsibilities
- Maintain records of claim follow-ups and payment updates.
- Communicate with insurance representatives through calls or portals.
- Ensure compliance with healthcare billing guidelines and company policies.
- Meet daily productivity and quality targets set by management.
Required Skills:
- Basic understanding of medical billing and US healthcare processes (preferred).
- Good communication skills (verbal and written English).
- Strong analytical and problem-solving skills.
- Attention to detail and accuracy in data entry.
Eligibility Criteria
- Graduate in Commerce, Management, Life Science, Pharmacy, or any related field.
- Freshers are welcome to apply.
- Good communication skills and willingness to work in US Night Shift.
Preferred Knowledge(optional)
- Knowledge of CPT, ICD‑10, and HCPCS codes.
- Understanding of RCM (Revenue Cycle Management) process.
- Exposure to healthcare billing software or insurance processes.