We are currently seeking a highly motivated and detail-oriented Medical Billing Specialist to join our dynamic team. If you possess a strong understanding of insurance processes, excellent communication skills, and a proactive approach to resolving billing challenges, we encourage you to apply!

Responsibilities:

- Proactive Insurance Follow-Up: Diligently follow up with insurance companies via phone and email on all pending claims to ensure timely processing and payment.
- Denied/Underpaid Claim Resolution: Thoroughly investigate denied or underpaid claims, identify root causes, and implement effective solutions for efficient resolution, including preparing appeals and corrected claims.
- Timely Claim Submission & Resubmission: Ensure accurate and timely initial claim submissions and prompt resubmission of corrected claims to maximize reimbursement.
- Comprehensive Documentation: Accurately and thoroughly document all interactions with insurance companies, including phone calls, emails, and resolutions, within the billing system.
- Collaboration with Billing Team: Work closely with medical coders and other billing team members to identify and resolve coding errors, payment discrepancies, and other billing-related issues.
- Insurance Knowledge Maintenance: Continuously maintain up-to-date knowledge of various insurance policies, coverage guidelines, and billing procedures for different payers.
- Escalation of Unresolved Issues: Identify and escalate complex or persistently unresolved claims to the appropriate department for further investigation and action.
- Denial Trend Analysis: Analyze trends in claim denials to identify recurring issues and provide valuable feedback to improve overall billing processes and prevent future denials.
- HIPAA and Compliance:



Adhere strictly to all HIPAA regulations and healthcare industry standards to ensure the privacy and security of patient information.

Requirements:

- Bachelor's Degree: A Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field is required.
- Insurance Knowledge and Billing Software Proficiency preferred.
- Communication Skills: Excellent verbal and written communication skills, including professional phone etiquette and the ability to communicate effectively with insurance representatives and colleagues.
- Analytical and Problem-Solving Abilities: Strong analytical skills to investigate claim issues, identify root causes, and develop effective solutions.
- Organizational Skills and Detail-Oriented: Exceptional organizational skills and meticulous attention to detail to manage multiple claims and ensure accuracy in all tasks.
- Computer Skills: Proficient in basic computer applications, including email, word processing, and spreadsheets (e.g., Microsoft Excel).
- Understanding of Medical Coding Basics: Familiarity with CPT, ICD-10, and HCPCS coding concepts and their impact on billing.
- HIPAA Knowledge: Comprehensive understanding of HIPAA regulations and commitment to maintaining patient confidentiality.
- Professionalism and Teamwork: Ability to maintain a professional demeanor and work effectively as part of a collaborative billing team.

Job Types: Full time, Permanent

Pay: ₹200,000.00 - ₹600,000.00 per year

Benefits:

- Commuter assistance
- Leave encashment
- Provident Fund

Schedule:

- Day shift
- Monday to Friday
- Morning shift
- UK shift
- US shift

Supplemental Pay:

- Shift allowance

Ability to commute/relocate:

- Delhi, Delhi: Reliably commute or planning to relocate before starting work (Required)

Education:

- Bachelor's (Required)

Experience:

- Medical billing: 1 year (Required)

Work Location: In person

📌 Medical Billing Specialist (India)
🏢 Gentell
📍 India