Billing & Cash Posting - US Healthcare - Pune - Medtronic

    Medtronic
    Medtronic Pune

    2 days ago

    Full time
    Description

    Role & responsibilities

    • Accurately post all payments (electronic, checks, credit cards, etc.) to patient accounts in the billing system.
    • Ensure all payments are applied to the correct accounts and invoices.
    • Identify and resolve discrepancies between posted payments and actual deposits.
    • Post adjustments, write-offs, and denials as per payer contracts and company policies.
    • Identify trends in denials and underpayments and communicate findings to management.
    • Identify billing errors and make necessary corrections to avoid claim denials.
    • Ensure timely and accurate submission of claims to payers.
    • Manage the resolution of denied claims by identifying root causes and correcting errors.
    • Resubmit corrected claims to payers for reimbursement.
    • Track and report on claim correction activities and outcomes.
    • Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies.
    • Stay updated on changes in billing regulations and payer requirements.

    Preferred candidate profile

    • Bachelors degree in business or accounting major is preferred.
    • 1 to 6 years experience in healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts.
    •  Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
    • Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims.
    • Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.

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