13 Aug
|
Growth Nest Advisors
|
Greater Noida
13 Aug
Growth Nest Advisors
Greater Noida
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, advantages, 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 correcti
📌 Medical Billing Specialist (Greater Noida)
🏢 Growth Nest Advisors
📍 Greater Noida