Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses and
procedures based on thorough analysis of medical documentation.
Submit timely and compliant electronic and paper claims to Medicare,
Medicaid, and commercial insurance carriers.
Identify and process billing for secondary and tertiary insurances to ensure
complete reimbursement.
Monitor and resolve denied or rejected claims, including preparing and
submitting appeals as necessary.
Post and reconcile payments from insurance payers and patients, maintaining
accurate financial records.
Conduct routine internal audits to ensure accuracy in coding and billing, and
adherence to payer and regulatory guidelines.
Obtain, verify, and maintain up-to-date patient demographic and insurance
information in the billing system.
Respond promptly to insurance documentation requests and follow up to
ensure claim resolution.
Generate and review monthly accounts receivable (A/R) reports; pursue
outstanding claims aged over 60 days.
Investigate and resolve discrepancies related to insurance billing, coding, or
reimbursement.
Maintain accurate, organized, and HIPAA-compliant documentation for all
billing and coding activities.
Log all billing actions and communications clearly and concisely within the
system to support transparency and audit readiness.
Collaborate with healthcare providers and administrative staff to clarify clinical
documentation and ensure correct billing practices.
Remain current on industry updates, including changes to coding regulations,
payer guidelines, and HIPAA standards.
Attend quarterly in-person review meetings to discuss performance
metrics, compliance updates, and process improvement initiatives.
Maintain high levels of accuracy and efficiency while working in a remote,
HIPAA-compliant environment.
Qualification
:
Bachelor's Degree required.
Fluent in English with strong verbal and written communication skills.
Excellent organizational and time-management abilities.
Prior experience working with physical therapy (PT), occupational therapy
(OT), behavioral therapy, primary care providers (PCP), ophthalmology, and
non-emergency medical transportation (NEMT) billing preferred.
Familiarity with medical billing and coding practices within these specialties is
highly desirable.
Ability to accurately interpret and process medical documentation related to
multiple therapy disciplines and specialized care.
Strong attention to detail and commitment to maintaining compliance with
healthcare regulations.
Job Type: Full-time
Pay: ₹10,000.00 - ₹35,000.00 per month
Benefits:
Work from home
Application Question(s):
what is your current CTC?
Experience:
Medical billing: 2 years (Required)
Medical coding: 2 years (Required)
Shift availability:
Night Shift (Required)
Work Location: In person
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