Process Associate - Bhavnagar, India - Intelligent Medical Billing Solutions
Description
Responsibilities:
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Claims Follow-up: Contact insurance companies to follow up on unpaid or denied claims, verify claim status, and identify reasons for non-payment.
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Payment Posting: Record and reconcile payments received from insurance companies and patients, ensuring accuracy in posting transactions to patient accounts.
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Insurance Verification: Verify patients' insurance coverage, eligibility, and benefits to ensure accurate billing and reimbursement.
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Denial Management: Investigate claim denials, identify root causes, and take appropriate actions to appeal denied claims or correct billing errors to facilitate payment.
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Patient Billing: Contact patients to discuss outstanding balances, explain billing statements, and assist with setting up payment plans or resolving billing disputes.
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Documentation and Reporting: Maintain detailed records of collections activities, including correspondence with insurance companies and patients, and generate reports to track collections performance.
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Customer Service: Provide excellent customer service to patients and healthcare providers, addressing inquiries, concerns, and complaints related to billing and collections.
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Revenue Cycle Management: Collaborate with internal teams, including billing specialists, coders, and account managers, to optimize revenue cycle processes and improve collections efficiency.
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Compliance: Ensure compliance with healthcare regulations, billing guidelines, and privacy laws (e.g., HIPAA) in all collections activities.
Requirements:
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Education: High school diploma or equivalent required. Additional coursework or certification in medical billing and coding is advantageous.
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Experience: Previous experience in medical billing, accounts receivable, or collections preferred. Familiarity with healthcare reimbursement processes and insurance claims is beneficial.
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Communication Skills: Excellent verbal and written communication skills, with the ability to effectively communicate with insurance companies, patients, and internal stakeholders.
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Negotiation Skills: Strong negotiation and persuasion skills to effectively resolve billing disputes and secure payment commitments from insurance companies and patients.
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Attention to Detail: Keen attention to detail and accuracy in reviewing billing statements, payment records, and insurance claims.
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Problem-Solving Skills: Strong analytical and problem-solving skills to identify billing discrepancies, address payment issues, and implement solutions.
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Organizational Skills: Ability to manage multiple tasks, prioritize workload, and meet deadlines in a fast-paced environment.
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Ethical Conduct: Commitment to maintaining patient confidentiality, adhering to ethical standards, and ensuring compliance with healthcare regulations and privacy laws.
Salary:
₹25, ₹40,000.00 per month
Benefits:
- Provident Fund
Schedule:
- Day shift
- Monday to Friday
- US shift
Supplemental pay types:
- Performance bonus
Experience:
- total work: 1 year (preferred)
Work Location:
In person
Speak with the employer
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