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Associate -Medical Billing at Medfar

Madhurawada, Andhra Pradesh, India -

Full Time

Start Date

Immediate

Expiry Date

17 Sep, 26

Salary

0.0

Posted On

19 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Eligibility Verification, Payment Posting, US Healthcare RCM, Insurance Portals, ERA/EOB Processing, Claims Resolution, MS Office, Communication Skills, Physician RCM, Payment Reconciliation

Industry

Software Development

Description

Company Description We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our organization you will be joining a smart and driven team that shares your passion for exploration and discovery in the Healthcare Software vertical. Our significant investment in people, processes, and technology equips our employees with the resources and opportunities to drive substantial value for all our client partners. Job Description Roles & Responsibilities: Eligibility Verification: Verify patient eligibility and benefits through payer portals and insurance calls Work on eligibility-related denials and exceptions Handle eligibility faxes and paper claims Review and resolve eligibility bucket scenarios Identify and resolve insurance-related issues impacting claims Ensure accurate insurance information to avoid future denials Maintain and update process documents/SOPs when required Payment Posting: Perform ERA and EOB payment posting activities Work on electronic and paper remittances Handle payment posting from AR escalations Perform manual posting of EOBs received through email/fax Reconcile payer portals to ensure all payments are posted accurately Identify and report payment discrepancies and enrollment-related issues Qualifications Good understanding of US Healthcare End-to-End RCM process Experience in Physician RCM preferred Strong communication skills (written and verbal) Good email and telephone etiquette Proficiency in MS Office (Word, Excel, PowerPoint, Outlook) Ability to work with insurance portals and payer websites Knowledge of reporting and process metrics based on experience level Additional Information Transportation Faciity for Females/ Travel allowance for Males Health Insurance and Other Benefits Department: RCM

Responsibilities

The role involves verifying patient eligibility and benefits through payer portals to resolve insurance-related claim denials. Additionally, the associate is responsible for ERA and EOB payment posting and reconciling payer portals for accuracy.