Job Overview

We are seeking a skilled and motivated Medical Billing Executive to support our US healthcare revenue cycle operations. The candidate will be responsible for verifying insurance eligibility and benefits, submitting accurate medical claims, and processing insurance payments. The role requires a strong understanding of US healthcare billing workflows, payer requirements, and billing accuracy to ensure timely claim processing and proper reimbursement.

Roles & Responsibilities

- Perform insurance eligibility and benefits verification (EVBV) to confirm patient coverage and benefits.
- Review patient and insurance details to ensure accurate billing information.
- Prepare and submit medical claims to insurance companies within established timelines.
- Review claim rejections, identify errors, and take appropriate corrective action.
- Process insurance and patient payments accurately in the billing system.
- Analyze EOBs and ERAs to ensure correct payment posting and contractual adjustments.
- Identify payment discrepancies, underpayments, and unapplied payments and report them for resolution.
- Maintain accurate patient account records and ensure proper documentation of billing activities.
- Coordinate with internal teams to resolve claim and payment-related issues.




- Follow established billing procedures, payer guidelines, and quality standards.
- Maintain confidentiality of patient information and comply with applicable healthcare privacy requirements.
- Achieve assigned productivity, quality, and turnaround-time targets.

Eligibility Criteria

- 1–3 years of experience in US Medical Billing.
- Practical knowledge of EVBV, claim submission, and payment posting.
- Understanding of US healthcare insurance plans and payer processes.
- Familiarity with EOBs, ERAs, and medical billing systems.
- Basic knowledge of ICD-10, CPT, and HCPCS codes.
- Good analytical skills, accuracy, and attention to detail.
- Ability to work effectively in a team and meet daily targets.

Preferred Qualifications

- Experience in US healthcare Revenue Cycle Management (RCM).
- Familiarity with EMR/EHR systems, clearinghouses, and payer portals.
- Understanding of claim processing, reimbursement procedures, and insurance adjustments.
- Good written and verbal communication skills.

Employment Details

Job Type: Full time

Work Schedule: Monday–Friday, Day Shift

Pay: ₹15,000.00 - ₹25,000.00 per month

Work Location: In person

📌 Medical Biller – EVBV, Claim Submission & Payment Posting. (Nagpur)
🏢 Ibraniac software
📍 Nagpur