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Medical Biller

Experience: 2-7 yrs.
Work Location: Hyderabad
Job Type: Full Time Permanent

Essential Duties and Responsibilities

  • Obtaining referrals and pre-authorizations as required for procedures.
  • Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary.
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.
  • Updating billing software with rate changes.
  • Updating cash spreadsheets, and running collection reports. Knowledge, Skills, and Abilities
  • Proficiency in the following areas is preferred:
  • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Competent use of computer systems, software, and 10 key calculators.
  • Familiarity with CPT and ICD-10 Coding.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service for interacting with patients about medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • A calm manner and patience working with either patients or insurers during this process.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Ability to multitask.

 

Interested candidates can share your updated resume at hr@esntechnologies.co.in along with following mandatory details like…
* Total Experience:
* Relevant Experience:
* Current CTC:
* Expected CTC:
* Notice period:
* Willing to join within 15 days/30 days:
* Reason for job change:

Posted By
Human Resources ESN Technologies (India) Pvt. Ltd.

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