Primarily remote work with meeting in person on a necessary basis
Verify coverage and eligibility for medical services
Communicate with insurance providers and patients
Review patient bills and correct any missing or inaccurate information
Use a billing software to prepare and transmit claims
Clear up balance discrepancies
Investigate and appeal claims that were denied
Complete data entry to update spreadsheets and reports
Work with patients to set up payment plans
Adapt to updates and changes in billing software
Process denial management for claims rejected by the Insurance companies
Create and maintain licensing, credentials and insurance records
Conduct research on updated state and federal regulations and policies
Release information to requesting agencies and public inquiries when required by law
Help develop internal credentialing processes
Monitor license and credential expiration dates and advise staff members of required “renew by” dates
Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
What You Should Have :
Proficiency with computers and medical billing software
Knowledge of unfair debt collection practices and insurance guidelines
Understanding of primary code classifications : ICD-10-CM, ICD-10-PCS, CPT and HCPCS
Communication skills with patients / healthcare companies
Basic accounting and bookkeeping practices
Bachelor's or Associate's degree preferred
Minimum of 1 years of healthcare billing and credentialling experience
Passion for healthcare and technology
Exceptional written and verbal communication skills
High degree of professionalism
Strong customer relationship management skills
Ability to foster strong, positive relationships
Proven ability to set goals and meet deadlines
Understanding of healthcare billings and credentialling industry
Certified Provider Credentialing Specialist (CPCS) certifications – Is a plus
Create a job alert for this search
Medical Medical • Thane, IN
Related jobs
Promoted
Medical Biller, Medical Coder
ConfidentialMumbai, India
Mediplay Healthcare is at the forefront of transforming healthcare through innovative digital solutions.We develop cutting-edge platforms designed to enhance patient care, improve healthcare outcom...Show moreLast updated: 9 days ago
Promoted
Medical Coder
ConfidentialMumbai, India
Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc.
Review and validate and / or assign / modify, pr...Show moreLast updated: 9 days ago
Promoted
Clinical Data Configurator (SAS / SQL + R-Shiny)
SIROKalyan-Dombivli, IN
Create and / or review derive data specifications as per the standards for SDTM, ADaM datasets and pooled analysis (ISS / ISE) datasets.
Perform development and validation of analysis dataset, tables, ...Show moreLast updated: 19 days ago
Promoted
Clinical Data Programmer - SAS + Elluminate
SIROKalyan-Dombivli, IN
Create and / or review derive data specifications as per the standards for SDTM, ADaM datasets and pooled analysis (ISS / ISE) datasets.
Experience with Principal SQL + Elluminate.Experience with R Pro...Show moreLast updated: 7 days ago
Promoted
New!
US Billing + Accounting
AKM GlobalThane, IN
We are seeking a detail-oriented and proactive Accounting Specialist with expertise in Accounts Receivable (AR), Billing, Financial Statement Preparation, Journal Entries, and client coordination.T...Show moreLast updated: 6 hours ago
Promoted
Duckcreek Billing Tester
ConfidentialMumbai
Possess good knowledge of Software testing life cycle (STLC) and QA methodologies.Create comprehensive and well-structured test cases.
Liaise with internal teams to analyze and understand technical ...Show moreLast updated: 25 days ago
Promoted
Clinical DataProgrammer - SAS + Jreview
SIROThane, IN
Hands on exposure in reviewing Clinical Data in JReview.Configure data extraction and transformations in an individual contributor role across multiple data sources at the study level as defined by...Show moreLast updated: 16 days ago
Promoted
Ophthalmologist (Medical Data Labeling Specialist)
BigRioKalyan-Dombivli, IN
Ophthalmologist (Medical Data Labeling Specialist).BigRio is a Boston-based, remote-first technology consulting firm specializing in advanced data and software solutions.
We partner with forward-thi...Show moreLast updated: 30+ days ago
Promoted
Guidewire Billing Center Business Analyst (Full-time at a reputed global tech MNC)
HARPThane, IN
Excellent Domain knowledge on P&C lines of Insurance with expertise in Billings Processes.Strong understanding of Guidewire Billing Center and related modules and functionalities.Skilled in Require...Show moreLast updated: 6 days ago
Promoted
Billing & Accounts Administrator (AP / AR)
Telelink Business SystemsKalyan-Dombivli, IN
Own Telelink’s end-to-end billing and collections cycle and keep cashflow smooth.You’ll raise accurate invoices, manage accounts payable / receivable, reconcile bank feeds, and provide clean month-en...Show moreLast updated: 5 days ago
Promoted
Medical Writer, Medical Information
Cactus CommunicationsKalyan-Dombivli, IN
You may be required to travel to our Mumbai office based on business requirements or for company / team events.If you are looking for challenging and rewarding work which combines your understanding ...Show moreLast updated: 30+ days ago
Promoted
Medical Writer, Publications
Cactus Life SciencesKalyan-Dombivli, IN
You may be required to travel to our Mumbai office based on business requirements or for company / team events.If you are looking for challenging and rewarding work which combines your understanding ...Show moreLast updated: 30+ days ago
Promoted
Medical Biller
SkuadKalyan-Dombivli, IN
Medical Biller - Remote 9AM - 6PM EST Time Zone.Primarily remote work with meeting in person on a necessary basis.Verify coverage and eligibility for medical services.
Communicate with insurance pro...Show moreLast updated: 30+ days ago
Promoted
New!
Senior Billing Specialist
AZB & Partnersmumbai, maharashtra, in
AZB & Partners, founded in 2004, provides reliable, practical, and full-service legal advice across various sectors.With offices in Mumbai, Delhi, Bangalore, Chennai, and Pune, the firm boasts a te...Show moreLast updated: 3 hours ago
Promoted
Freelance Medical Writer
Cactus Life SciencesKalyan-Dombivli, IN
Cactus Life Sciences partners with the global biopharma industry to drive innovation and elevate patient outcomes through agile, science-driven medical communications.
We transform complex data into...Show moreLast updated: 16 days ago
Promoted
Officer - Medical Pre Approval / Billing
Global RecruitzMumbai, IN
Hiring for a reputed Insurance company based at Oman.We are looking for a qualified Executive to join our medical pre-approval team.
The role involves evaluating pre-approval requests for medical pr...Show moreLast updated: 7 days ago
Promoted
Medical Billing and Coding Expert
ConfidentialMumbai, India
Wellyfy is a Telehealth platform dedicated to providing instant access to certified doctors anytime, anywhere.We offer comprehensive healthcare services including expert diagnosis, treatment, and p...Show moreLast updated: 9 days ago
Promoted
Billing Assistant
ConfidentialMumbai, India
DUVAL Enterprises Private Limited manufactures and markets packaged herbs, spices, and seasonings under the SNAPIN brand name across India and in select international markets.SNAPIN's purpose is to...Show moreLast updated: 9 days ago
Promoted
Experienced Billing RCM
My Care InternationalKalyan-Dombivli, IN
Experienced Billing RCM (Physicians / Hospital / Lab).My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support...Show moreLast updated: 19 days ago
RevUpside Business Solutions Private Limitednavi mumbai, maharashtra, in
Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis.
Understand the reason for rejection, denials, or no status ...Show moreLast updated: 7 days ago