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Niche medical-billing role requiring CPT/ICD and payer-specific skills reduces applicant competition.
High because CPT/ICD coding, payer-specific rules, and RCM expertise are healthcare-specific and non-transferable.
Role requires specific medical-billing knowledge, payer rules, and billing system experience, increasing filter strictness.
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Responsible for accurate charge entry by reviewing client source data including patient demographics, charges, CPT and ICD codes, and payer-specific modifiers.
Manage the accounts receivable process to meet KPIs, ensuring a 48-hour turnaround for batch processing and reconciling discrepancies across systems.
Track and follow up on client information requests, help resolve charge-related questions, and ensure compliance with coding and company policies.
Work Location: Pune (Work from Office) with shift timings 7:30 PM to 4:30 AM.
Experience with charge entry involving CPT and ICD coding, modifiers usage, and understanding of Correct Coding Initiative (CCI).
Competency in using Microsoft products; preferred experience with MS Access, PowerPoint, Crystal Reports, and billing systems such as Next Gen, Pro, Allscripts, Epic.
Work Experience Required: Not explicitly mentioned in the JD.
Experienced in medical billing operations with good knowledge of payer-specific requirements and macros in coding to reduce denials.
Ability to manage multiple client interactions promptly and facilitate resolution of charge queries effectively.
Comfortable working night shifts in an office environment in Pune and adept with relevant software tools and billing systems.