Position: Medical Biller (1 Position)
Location: Bopal-Ambli road, Ahmedabad
Experience Required: 3 years (preferred)
Department: Revenue Cycle Management (RCM)
Overview:
We are seeking a detail-oriented Medical Biller with hands-on experience in medical claim submission, insurance follow-up, and ICD/CPT coding basics. The ideal candidate should understand the complete billing workflow and ensure accurate, timely reimbursement from payers.
Key Responsibilities:
- Claim Preparation & Submission
• Prepare, review, and submit medical claims to insurance companies (electronic & paper).
• Ensure all claims include correct patient data, provider details, authorization numbers, and insurance information.
• Verify accuracy of CPT, ICD-10, and HCPCS codes before submission.
• Resolve claim rejections by correcting errors and resubmitting promptly.
• Maintain daily logs of submitted, rejected, and accepted claims. - ICD & Coding Knowledge
• Apply accurate ICD-10 diagnosis codes based on provider documentation.
• Review coding for compliance with payer guidelines.
• Collaborate with providers/coders to clarify diagnosis codes when needed.
• Update codes as per annual ICD/CPT guideline changes.
Required Skills & Qualifications:
• Minimum 3 year of experience in medical billing or RCM (preferred).
• Knowledge of ICD-10, CPT, and HCPCS coding.
• Familiarity with clearinghouses (e.g., Availity, Trizetto).
• Experience with EHR/EMR systems and billing software.
• Strong analytical and problem-solving skills.
• Good attention to detail and accuracy.
• Excellent written and verbal communication skills.
Work Schedule:
• 9:00 AM to 6:00 PM
• Work from office only.