17 Oct
|
Kohinoor Techno Business Solutions
|
Parel
17 Oct
Kohinoor Techno Business Solutions
Parel
The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on accurate claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements. This position reports to the Medicaid Billing Manager.
Core Responsibilities
Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
Ensure all claim details are complete and error-free, including coding, provider information, and service dates
Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
Ensure compliance with industry regulations, payer policies, and internal billing procedures
Maintain accurate and organized billing records and documentation
Identify and report billing trends, potential errors, and areas for process improvement
Collaborate with internal teams to standardize billing practices and enhance efficiency
Support billing audits and internal quality control measures
Other duties as assigned
Job Types: Full time, Permanent
Pay: ₹30,000.00 - ₹35,000.00 per month
Advantages
Health insurance
Work Location: In person
📌 Medical Billing Specialist Parel
🏢 Kohinoor Techno Business Solutions
📍 Parel