Ahmedabad

In office

5+ years

Night Shift (US hours)

No. of Openings: 2

About The Role

Project Tree is starting a back-office service for clinics and doctors in the USA. Working from the Ahmedabad office, this role combines patient support over the phone with end-to-end medical billing for US clinics. The key mission is to code and submit claims correctly so that the clinic receives its insurance payment.

Key Responsibilities

• Call Handling & Patient Service
• Answer inbound calls from US patients, clinics and doctors professionally and resolve their queries on billing, claims and insurance.
• Record every call and its outcome in Dr Pro.
• Book patient appointments with doctors and specialists.
• Follow up with patients, clinics and insurance companies on pending matters.
• Insurance Verification & Authorization
• Verify patient insurance eligibility and coverage over the phone.
• Obtain prior authorization from insurance companies before treatment, where required.
• Medical Billing & Coding
• Pre-claim:



review the doctor's documentation and assign the correct billing codes.
• Generate the bill and submit the claim with billing codes to the insurance company.
• Ensure claims are clean and error-free to avoid denials and delays.
• Post-claim: track claim status, handle denials or rejections, correct and resubmit, and ensure the insurance payment is received.
• Post received payments and reconcile them against claims.
• Escalate unresolved cases to the reporting manager on time.
• Documentation & Compliance
• Maintain complete and accurate records of calls, claims and payments in Dr Pro.
• Keep all patient information strictly confidential as per US HIPAA rules and company policy.
• Meet daily targets for calls, claims and accuracy; share daily work reports.

Requirements

• Experience: Minimum 5 years in US medical billing / US healthcare back office (RCM).
• English: Good spoken and written English is mandatory, with clear telephone communication.
• Medical Kn

📌 Healthcare Back Office Executive (Ahmedabad)
🏢 ProjectTree
📍 Ahmedabad