- 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.
- 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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Billing & Cash Posting - US Healthcare - Pune - Medtronic
Description
Role & responsibilities
Preferred candidate profile
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Payment Posting – U.S. Healthcare
Only for registered members Pune, Maharashtra
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Team Lead Cash Posting
Full time Medtronic- Pune
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Medical Billing
Only for registered members Pune
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Cash Posting Executive
Full time Medtronic- Pune
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Cash Posting
Full time Medtronic- Pune
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US Healthcare
Only for registered members Pune
-
RCM Specialist
Only for registered members Pune
-
Marketing Intern
Only for registered members Pune
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Client Coordinator
OTHER Only for registered members Pune
-
Nursing Staff
Full time confidential- Pune
-
Nurse
Full time confidential- Pune
-
Payment Posting Executive
Only for registered members Pune
-
MS General Surgeon
Only for registered members Pune
-
Billing Manager Healthcare
Full time confidential- Pune
-
Lead Executive
OTHER Only for registered members Pune
-
Medical Business Associate
Full time Only for registered members Pune
-
Medical Business Associate
Full time Only for registered members Pune
-
Business Executive
Full time Only for registered members Pune
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Rcm Ar Caller
Only for registered members Pune
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Clinical Evaluation Specialist-2
Only for registered members PUN MA