PRINCIPAL ACCOUNTABILITIES
After patient transactions have been properly coded, create billing batches
Review information from the patient's file on system chart
Verify insurance coverage
Bill per procedure and appropriate contract
Verify procedures and check modifiers
Calculate correct fee and process billing transactions
Experience working in EClinical work softwares
The Biller demonstrates general knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions
This role is also responsible for providing support to other departments within the related to billing functions, including communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable
Provides support for the revenue cycle departments (as applicable: payment posting, coding and accounts receivable (AR) follow up) related to administrative duties as needed
Assists with knowledge sharing, payor and department training, and provides support to other team members as advised by the manager and/or supervisor
Train new employees in billing, posting and AR
Resolves routine insurance billing inquiries and problems within departmental standards
Follows established departmental workflows within the electronic health record system appropriate work queues in response to correspondence/reports/data/requests received
Processes financial/insurance correspondence received associated to billing functions
Meets departmental productivity and quality standards
Completes claim edits timely, compliantly, and without errors
Documents clear, concise and complete notes in system for each account worked
Identifies claim processing issues and general billing trends
Notifies supervisor and/or manager regarding trends to avoid further delay in claims processing
Demonstrates understanding of fundamentals of all payers, including Medicare, Medicaid and commercial payers, and applicable revenue cycle operations
Maintains strict confidentiality of patients, employees and hospital information at all times
Ensures protection of private health and personal information
Adheres to all Health Insurance Portability and Accountability Act (HIPAA)
Ensures claims are submitted within payor deadlines and reports barriers to claim submission to management
Completes billing functions within established departmental standards including billing related work queues and workflows to ensure claims are billed accurately, compliantly, and timely
Resolves basic edits, rejections, and unresolved/no response insurance claims
Processes actions to resolve clearinghouse billing, rejections, and eligibility related errors to ensure timeliness of charge/claim submission
Monitors and processes all no response claims for timely resolution of services within established work queues
Where applicable, submits accurate adjustments based on billing guidelines and departmental policies, contract requirements, or levels of authority
Remains current on billing guidelines and regulations of various payers and/or specialty practices as directed by the supervisor and/or manager
MINIMUM QUALIFICATIONS
Education: Bachelor's Degree
8 plus years of experience in billing and Posting
1+ year experience in AR (Preferred)
1+ years experience working with ECW software
Strong skills in CMS and insurance specific guidelines for billing
Office Location :Tambaram, Zip code : 600045
Job Types: Full-time, Permanent
Pay: 50,
- 00 - 95,000.00 per month
Jadwal: - Day shift
Evening shift Monday to Friday
Night shift US shift
Tunjangan:
Provident Fund
Upah Tambahan: Overtime pay
Quarterly bonus Yearly bonus
Application Question(s):
- How many years of experience do you have in payment posting
How many years of experience do you have in charge entry- How many years of experience do you have in AR calling
Have you worked in E-clinical works software (ECW)
- Are you willing to work from office
Would you be able to relocate to Chennai
Education:
Experience:- Team leader RCM: 7 years (Required)
RCM Manager: 5 years (Required)
Work Location: In person
