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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