Medical Billing Specialist

Gentell, LLC

We are currently seeking a highly motivated and detail-oriented Medical Billing Specialist to join our dynamic team. If you possess a strong understanding of insurance processes, excellent communication skills, and a proactive approach to resolving billing challenges, we encourage you to apply! Responsibilities: Proactive Insurance Follow-Up: Diligently follow up with insurance companies via phone and email on all pending claims to ensure timely processing and payment. Denied/Underpaid Claim Resolution: Thoroughly investigate denied or underpaid claims, identify root causes, and implement effective solutions for efficient resolution, including preparing appeals and corrected claims. Timely Claim Submission & Resubmission: Ensure accurate and timely initial claim submissions and prompt resubmission of corrected claims to maximize reimbursement. Comprehensive Documentation: Accurately and thoroughly document all interactions with insurance companies, including phone calls, emails, and resolutions, within the billing system. Collaboration with Billing Team: Work closely with medical coders and other billing team members to identify and resolve coding errors, payment discrepancies, and other billing-related issues. Insurance Knowledge Maintenance: Continuously maintain up-to-date knowledge of various insurance policies, coverage guidelines, and billing procedures for different payers. Escalation of Unresolved Issues: Identify and escalate complex or persistently unresolved claims to the appropriate department for further investigation and action. Denial Trend Analysis: Analyze trends in claim denials to identify recurring issues and provide valuable feedback to improve overall billing processes and prevent future denials. HIPAA and Compliance: Adhere strictly to all HIPAA regulations and healthcare industry standards to ensure the privacy and security of patient information. Requirements: Bachelor's Degree: A Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field is required. Insurance Knowledge and Billing Software Proficiency preferred. Communication Skills: Excellent verbal and written communication skills, including professional phone etiquette and the ability to communicate effectively with insurance representatives and colleagues. Analytical and Problem-Solving Abilities: Strong analytical skills to investigate claim issues, identify root causes, and develop effective solutions. Organizational Skills and Detail-Oriented: Exceptional organizational skills and meticulous attention to detail to manage multiple claims and ensure accuracy in all tasks. Computer Skills: Proficient in basic computer applications, including email, word processing, and spreadsheets (e.g., Microsoft Excel). Understanding of Medical Coding Basics: Familiarity with CPT, ICD-10, and HCPCS coding concepts and their impact on billing. HIPAA Knowledge: Comprehensive understanding of HIPAA regulations and commitment to maintaining patient confidentiality. Professionalism and Teamwork: Ability to maintain a professional demeanor and work effectively as part of a collaborative billing team. Job Types: Full-time, Permanent Pay: ₹200,000.00 - ₹600,000.00 per year Benefits: Commuter assistance Leave encashment Provident Fund Schedule: Day shift Monday to Friday Morning shift UK shift US shift Supplemental Pay: Shift allowance Ability to commute/relocate: Delhi, Delhi: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Experience: Medical billing: 1 year (Required) Work Location: In person