Medical Billing Specialist - Charge Entry & Payment Posting
Location: Near Durgam Cheruvu Metro Station
Job Type: Full-Time
Shift: Day Shift
Salary: Upto ₹38,000 Take Home
Job Summary
We are looking for a skilled and detail-oriented Medical Billing Specialist with expertise in Charge Entry and Payment Posting to join our dynamic team. This position plays a critical role in ensuring the billing process runs smoothly, from entering charges for medical services to posting payments accurately. The ideal candidate will have a solid background in medical billing, payment reconciliation, and knowledge of insurance regulations.
Key Responsibilities
Charge Entry
- Accurately enter charges for medical services into the billing system, ensuring services are properly billed.
- Verify patient insurance details, service codes, and necessary modifiers for correct billing.
- Ensure charges align with the CPT, ICD-10, and HCPCS codes.
- Complete charge entries in a timely manner to facilitate smooth claim submissions.
- Review clinical documentation to ensure all services are accurately billed.
- Monitor for errors or missing information in charge entries and correct them promptly.
- Collaborate with medical teams to ensure accurate entries, especially for complex procedures.
Payment Posting
- Post payments from insurance companies, patients, or third-party payers to appropriate accounts.
- Process EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advice) from insurance companies, ensuring payments are applied correctly.
- Resolve payment discrepancies by addressing underpayments, overpayments, or denials.
- Investigate and manage claim denials or payment issues, including re-billing and appeal submissions.
- Record adjustments, write-offs, or refunds and document the reasons for these actions.
- Monitor accounts receivable for overdue payments and follow up accordingly.
Billing and Documentation
- Maintain accurate, up-to-date records of all charges, payments, adjustments, and correspondence.
- Generate regular reports on charge entries, payment posting, and payment statuses to ensure accuracy.
- Collaborate with the collections team for timely resolution of denied claims and outstanding balances.
- Ensure compliance with healthcare regulations, such as HIPAA, in charge entry and payment posting processes.
- Assist with internal audits and reviews related to charge entry and payment posting practices.
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Customer Support (Internal and External)
- Collaborate with internal teams (coding, claims, collections) to resolve billing discrepancies.
- Provide support to patients and insurance providers regarding bills, payments, or claim status.
- Communicate effectively with external parties to resolve payment issues or discrepancies.
Qualifications
Experience
- Minimum of 1-2 years of experience in medical billing, with a focus on charge entry and payment posting.
- Proven experience with insurance claims, EOBs, ERAs, and payment processing.
- Familiarity with CPT, ICD-10, and HCPCS codes.
Skills
- Strong data entry skills, with a focus on accuracy and detail.
- Excellent organizational skills, with the ability to manage multiple tasks.
- In-depth understanding of healthcare payment processes, including insurance and patient payments.
- Experience with EMR and billing software (e.g., Epic, Cerner, NextGen).
- Strong communication skills, both written and verbal, especially with patients, insurance providers, and healthcare teams.
Preferred
- Knowledge of payer-specific billing rules and payment posting procedures.
- Experience with denial management and claim resubmissions.
- Familiarity with insurance verification processes.
- Understanding of HIPAA and other regulatory healthcare requirements.
Benefits
- Food provided
- Health insurance
- Provident Fund
Schedule
- Day shift
- Morning shift
Supplemental Pay
- Performance bonus
Compensation
- Pay: ₹400,000.00 - ₹450,000.00 per year
STRICTLY DONT CALL UNLESS YOU FEEL FIT FOR THIS ROLE Contact person- A Srivani - 9959218281
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