Job Summary:

MNC JOBS INFO is looking for a highly motivated and detail-oriented Medical Billing Executive to join our US Healthcare Process team based in Vikhroli. The Medical Billing Executive will play a crucial role in ensuring the accurate and timely billing of medical claims, collaborating with insurance providers, healthcare providers, and internal teams to ensure seamless claims processing. This is an excellent opportunity for individuals passionate about healthcare and billing processes to contribute to a rapidly growing global healthcare solutions company.

Key Responsibilities:

• Medical Billing & Coding: Accurately process medical claims and billing data for patients, ensuring all services provided are captured and coded according to healthcare standards (CPT, ICD-10).

• Claims Follow-up: Track and follow up on unpaid or denied claims to ensure timely resolution.

• Communication: Communicate effectively with insurance companies, healthcare providers, and patients to clarify any discrepancies, process additional information, and resolve billing issues.

• Documentation: Maintain accurate records of all billing and claims-related documents in line with company policies.

• Compliance: Ensure all medical billing practices comply with healthcare regulations (HIPAA, CMS, etc.) and best practices.

• Reports: Generate regular reports regarding outstanding claims, reimbursements, and the status of billing submissions.

• Problem Resolution: Investigate billing issues, work with the insurance company and internal teams to resolve disputes, and ensure payments are made in a timely manner.

Required Skills and Qualifications:

• Education: A Bachelors degree in Healthcare Administration, Medical Billing & Coding, or any related field.

• Certification: CPC (Certified Professional Coder) or a similar certification will be a plus.

• Experience: Minimum of 1-2 years of experience in medical billing or healthcare administrative roles. Experience in US Healthcare processes is highly preferred.

• Technical Skills: Proficiency in medical billing software (e.g., Kareo, AthenaHealth, or Epic), and strong working knowledge of MS Office (Excel, Word).

• Attention to Detail: Strong attention to detail with the ability to detect and correct billing errors quickly.

• Communication Skills: Excellent verbal and written communication skills to interact with both internal teams and external healthcare professionals.

• Time Management: Ability to prioritize tasks and work in a fast-paced environment while meeting deadlines.

Experience:

• Minimum Experience Required: 1-2 years in medical billing or US healthcare processes.

• Preferred Experience: Experience with insurance claims processing, denials management, and knowledge of ICD-10, CPT, and HCPCS coding.

• Industry Experience: Previous experience working in a healthcare environment or with US healthcare insurance companies is highly desirable.

Working Hours:

• Shift: Full-time (9:00 AM - 6:00 PM, Monday to Friday).

• Additional Hours: Occasional overtime may be required based on project deadlines or workflow demands.

Knowledge, Skills, and Abilities:

• In-depth Knowledge of US Healthcare Billing: Understanding of the US healthcare insurance system, including the different types of payers (Medicare, Medicaid, private insurance).

• Medical Terminology: Knowledge of medical terms, healthcare coding systems (CPT, ICD-10), and HIPAA regulations.

• Problem-solving Ability: Ability to troubleshoot issues related to claims and billing processes effectively.

• Organizational Skills: Excellent organizational skills to manage multiple tasks and ensure timely completion of billing cycles.

• Adaptability: Ability to adjust to changing policies, processes, and technologies in the healthcare billing field.

Benefits:

• Competitive Salary: Attractive salary based on experience and skills.

• Health Benefits: Comprehensive health insurance packages (medical, dental, and vision).

• Paid Time Off (PTO): Generous vacation and sick leave policy.

• Retirement Plan: Contribution to retirement savings plan (EPF).

• Career Development: Access to training programs and professional certifications to support career growth.

• Work-Life Balance: Flexible working hours and the possibility of occasional work-from-home arrangements.

Why Join MNC JOBS INFO:

• Career Growth: MNC JOBS INFO offers a supportive environment for employees to enhance their skills and advance their careers within the healthcare industry.

• Work Culture: We believe in fostering a positive and collaborative work environment that encourages innovation and creativity.

• Global Opportunities: As part of a leading multinational corporation, employees have the opportunity to work on global projects and gain international exposure.

• Employee Well-being: We prioritize the well-being of our employees and offer various wellness initiatives to support a healthy work-life balance.

How to Apply:

Interested candidates are invited to submit their updated resume along with a cover letter detailing their experience and qualifications for the Medical Billing Executive role. Please send your applications to us or apply through our website.