Billing & Credentialing Specialist

Year    MH, IN, India

Job Description

Summary

As a Medical & Chiropractic Biller and Credentialing Specialist- Charge Posting, you'll play a crucial role in healthcare administration by ensuring patient information is accurately coded for medical insurance and auto insurance claims for billing purposes. You will be responsible for reviewing medical records, assigning standardized codes (such as ICD-10 and CPT) to diagnoses, procedures, and treatments, and ensuring these codes are used to process claims with insurance companies. You will also assure providers are accurately credentialed with the insurance companies by completing all necessary applications.

Responsibilities



Perform charge and demo entries for Medical office and Chiropractic office Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems (ICD-10 and CPT) Review bills for accuracy and completeness and obtain any missing information. Knowledge of insurance guidelines especially Medicare and state Medicaid. Check each insurance payment for accuracy and compliance with the contract. Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures. Document all actions taken in the company or Client host system. Adhere to HIPAA, patient confidentiality, and compliance requirements at all times. Research payor rules and regulations to maintain current payor knowledge.

Qualifications



Proficiency in medical coding (ICD-10, CPT, HCPCS). Strong attention to detail to ensure accuracy in billing and coding. Knowledge of medical terminology and anatomy. Familiarity with healthcare billing software and electronic health records (EHR). Ability to navigate insurance claim processes and resolve issues. Excellent communication skills Should have worked as a Credentialing Analyst, medical billing service providers, Chiropractic billing. Good Knowledge in Provider credentialing Good knowledge in clearing house setup Electronic Data Interchange setup (EDI) Electronic Remittance Advice Setup (ERA) Establish Insurance Portals (EFT) Experience in Insurance calling Good knowledge in filling insurance enrollment applications Good experience in CAQH, PECOS application Experience in Medicare, Medicaid, Commercial insurance enrollment Positive attitude to solve problems Knowledge of generating aging report Preferred immediate joiners Flexible with shift timings

Logistical Requirements

Quiet and brightly illuminated work environmentLaptop with Minimum 8GB RAM, I5 8th gen processor720P Webcam and HeadsetA reliable ISP with a minimum speed of 100 MbpsSmartphone

Job Type: Part-time

Pay: ₹17,428.53 - ₹55,193.99 per month

Benefits:

* Work from home

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Job Detail

  • Job Id
    JD4450661
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Part Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    MH, IN, India
  • Education
    Not mentioned
  • Experience
    Year