Job Description

Position: Medical Biller with Credentialing and Patient Eligibility Verification ExperienceLocation: Vadodara Type: Full-TimeJob Summary:

We are seeking a highly motivated and detail-oriented Medical Biller with experience in credentialing and patient eligibility verification to join our team. The ideal candidate will be responsible for managing the billing process, ensuring accurate and timely submission of claims, maintaining provider credentialing records, and verifying patient eligibility. This role is critical in ensuring the financial health of our organization and compliance with all regulatory requirements.

Key Responsibilities:

• Medical Billing:
• Process and submit medical claims to insurance companies and other third-party payers.
• Review and verify patient billing information for accuracy and completeness.
• Follow up on unpaid claims and resolve billing discrepancies.
• Post payments and adjustments in the billing system.
• Generate and analyze billing reports to identify trends and issues.
• Credentialing:
• Manage and maintain up-to-date credentialing files for all healthcare providers.
• Complete credentialing and re-credentialing applications for providers with various insurance companies and healthcare organizations.
• Track and follow up on the status of credentialing applications.
• Ensure compliance with all credentialing requirements and guidelines.
• Communicate effectively with providers, insurance companies, and other stakeholders regarding credentialing issues.
• Patient Eligibility Verification:
• Verify patient insurance coverage and eligibility prior to services being rendered.
• Obtain pre-authorizations and referrals as required by insurance plans.
• Communicate with patients regarding their insurance benefits and any out-of-pocket costs.
• Update patient records with verified insurance information.
• Resolve any eligibility or coverage issues promptly to ensure accurate billing.
• Compliance and Regulations:
• Stay updated on current billing regulations, policies, and procedures.
• Ensure all billing practices comply with HIPAA and other relevant regulations.
• Assist in audits and implement corrective actions as needed.
• Customer Service:
• Provide excellent customer service to patients, providers, and other stakeholders.
• Address and resolve billing inquiries and issues promptly.

Qualifications:

• Education:
• High school diploma or equivalent required.
• Certification in medical billing and coding preferred.
• Experience:
• Minimum of 2 years of experience in medical billing.
• Experience with credentialing processes and maintaining provider records.
• Experience in verifying patient insurance eligibility and benefits.
• Familiarity with electronic medical records (EMR) systems and billing software.
• Skills:
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficiency in Microsoft Office Suite and billing software.
• Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding.

Job Type: Full-time

Pay: ?13,890.87 - ?31,736.71 per month

Jadwal:

• Night shift

Tunjangan:

• Health insurance

Experience:

• total work: 2 years (Required)

Work Location: In person