23 Aug
|
Valorega Talentedge
|
Noida
23 Aug
Valorega Talentedge
Noida
Medical Billing Specialist | US Healthcare | Noida
Location: Noida
Work Mode: Work from Office / Hybrid
Employment Type: Full-Time
Experience: 3-8 Years
About the Role
We are looking for an experienced Medical Billing Specialist with hands-on experience in US Medical Billing and Revenue Cycle Management (RCM). The ideal candidate should have strong knowledge of claims processing, insurance verification, payment posting, AR follow-up, denial management and healthcare billing workflows.
Key Responsibilities
- Handle end-to-end US Medical Billing and Revenue Cycle Management activities.
- Review patient and insurance information for billing accuracy.
- Perform insurance eligibility and perks verification where applicable.
- Prepare and submit medical claims to insurance payers.
- Monitor claim status and perform timely claims follow-up.
- Investigate and resolve claim denials, rejections and billing discrepancies.
- Perform Accounts Receivable follow-up and work on outstanding claims.
- Post insurance and patient payments accurately.
- Review EOBs,
ERAs and payer responses and take appropriate action.
- Perform charge entry and billing-related data validation where applicable.
- Coordinate with healthcare providers, insurance companies and internal teams to resolve billing issues.
- Maintain accurate billing records and documentation.
- Follow established US healthcare billing procedures and productivity standards.
- Ensure compliance with HIPAA and applicable company policies.
- Identify recurring billing issues and support process improvement initiatives.
Key Software
Epic, Cerner, Athenahealth, AdvancedMD, Kareo, NextGen, eClinicalWorks, Waystar, Change Healthcare, Availity, Microsoft Excel; experience with other EHR, EMR, practice management or RCM platforms will also be considered.
Healthcare Billing & Compliance Knowledge
US Medical Billing, Revenue Cycle Management, Claims Processing, Claims Submission, Claims Follow-Up, Denial Management, AR Follo
📌 Medical Billing Specialist | US Medical Billing (Noida)
🏢 Valorega Talentedge
📍 Noida