Medical Billing Manager
Year Coimbatore District, Tamil Nadu, India
Job Description
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Job descriptionWe are an India and US-based clinical documentation company providing services to US clients for the last 23 years. Recently, we have expanded our services to Healthcare RCM providing medical billing and coding solutions to USA healthcare providers. We are urgently hiring a "Medical Billing Manager" with recent experience in handling US accounts to lead a team of 25 to 50 revenue cycle management professionals.Role DescriptionThis is a full-time on-site role for a Medical Billing Manager. As a Medical Billing Manager, you will play a crucial role in ensuring the financial health of our customers. We seek individuals with a strong work ethic, excellent problem-solving skills, and a genuine passion for medical billing. Your responsibilities will include managing insurance communications, reconciling insurance EOBs and payments, maintaining patient confidentiality, managing denials, utilizing ICD-10 codes, verifying insurance information, and working with commercial and government insurance providers. Due to the nature of the healthcare industry, a high degree of professionalism and attention to detail is essential.Responsibilites
Expected Start Date: 01/07/2024
- Function as a subject matter expert in support of other billing team members.
- Demonstrate a good understanding of payer benefits requirements, claims status, submissions of claims, insurance follow-up, payment posting, and reconciliation procedures.
- Approve or deny requested adjustments and refunds within role thresholds.
- Manage and resolve denied, adjusted, or underpaid procedures on insurance accounts to reduce Accounts Receivable.
- Prepare and submit electronic and paper claims to insurance companies.
- Collaborate with multiple clinics and providers to rectify demographic errors.
- Communicate effectively with insurance companies, adjusters, and third-party payers via phone, email, and other channels.
- Analyze insurance EOBs to ensure correct payment for all procedures.
- Identify trends and issues with various payers and propose solutions for resolution.
- Process and post insurance payments promptly.
- Submit insurance claims to payers in a timely manner, adhering to compliance regulations.
- Ensure compliance with relevant state and federal agencies.
- Ensure quality and productivity standards are met or exceeded.
- Perform other related duties as assigned.
- A minimum of 10 years experience in medical billing, out of which at least 5 years in a Senior Manager capacity in a repuated medical billing or RCM company.
- Adapt to process and procedure evaluations and improvements, support continuous change, and willingly manage special projects in addition to normal workload and other duties as assigned.
- Adaptability to change and ability to prioritize tasks effectively in a fast-paced environment.
- Proficiency with office management tools, particularly Microsoft Office software.
- Exceptional organizational and time-management skills.
- Outstanding written and oral communication abilities.
- Detail-oriented and problem-solving mindset.
- Ability to translate and analyze data into reports.
- Excellent interpersonal and supervisory skills.
- Ability to act with discretion, tact, and professionalism in all situations.
- Ability to maintain records and produce reports.
- Extreme attention to detail.
- Knowledge and proficiency with the billing system of Kareo (Tebra) is a big plus.
- Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) certification is a plus.
- Any life science graduate or postgraduate - B.Sc. Biology preferred.
- Experience in transitioning and onboarding clients is a must.
- Health insurance
- Paid time off
- US shift
- Performance bonus
- total work: 10 years (Required)
- Management: 5 years (Required)
Expected Start Date: 01/07/2024
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Job Detail
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Job IdJD3332824
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IndustryNot mentioned
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Total Positions1
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Job Type:Full Time
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Salary:Not mentioned
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Employment StatusPermanent
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Job LocationCoimbatore District, Tamil Nadu, India
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EducationNot mentioned
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ExperienceYear