Ahmedabad

On-site

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 Knowledge: Sound knowledge of medical terminology, CPT/ICD-10 coding and US insurance (Medicare, Medicaid, commercial payers).

- Shift: Must be willing to work a fixed night shift (mandatory).

- Computer: Good typing speed; comfortable with software applications, MS Excel and email.

- Education: Graduate in any stream (Life Sciences, Pharmacy, Nursing or B.Com preferred).

- Advantage: Medical coding certification (CPC / CCS) or experience on medical billing software.

Key Skills

- Customer service and active listening

- Attention to detail and accuracy in coding

- Strong follow-up and problem-solving

- Ability to learn current software quickly

What We Offer

- Salary: No bar for the right candidate.

- Training on Dr Pro application and processes.

- Opportunity to grow with a new service line from the start.

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