major roles & responsibilities
medical billing and coding
accurately assign codes to diagnoses and procedures using icd-10, cpt, and hcpcs.
ensure correct coding for insurance claims submission.
insurance claim processing
submit claims to insurance companies (private, government, or third-party payers).
track claim status and ensure timely reimbursement.
payment posting
record and reconcile payments received from insurance companies and patients.
identify underpayments or denials and take appropriate action.
denial management
analyze reasons for claim denials or rejections.
correct and resubmit denied claims promptly.
patient billing
generate and send bills to patients for out-of-pocket expenses.
explain billing details, coverage, and payment responsibilities to patients.
accounts receivable follow-up
monitor unpaid accounts and follow up with insurance providers or patients.
ensure collections within the set timeline.
compliance and confidentiality
adhere to hipaa and healthcare billing regulations.
ensure patient data is kept confidential and secure.
coordination with medical staff
communicate with doctors, nurses, and administrative staff to clarify procedures and documentation.
resolve discrepancies in medical records or billing data.
reporting and documentation
prepare financial and operational reports related to billing performance.
maintain detailed records of claims, denials, and payments.
use of billing software
operate medical billing systems like kareo, athenahealth, advancedmd, or similar.
stay updated on billing software updates and payer rules.
Experience
0 - 6 Years
No. of Openings
50
Education
B.A, B.C.A, B.B.A, B.Com, B.Sc, Any Bachelor Degree
Role
Medical Billing Executive
Industry Type
Hospitals / Medical / Healthcare Equipments
Gender
[ Male / Female ]
Type of Job
Full Time
Work Location Type
Work from Office