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Medical Billing Executive

Pro Global Private Limited

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Responsibilities

Manage, organize and monitor progress of tasks assigned.
Ensure team members work to resolve issues/verify deliverables.
Provide status reporting of team activities and keep supervisors informed of task accomplishment, issues and status.
Document tasks performed on a daily basis.
Audit practices, finding and resolving neglected areas.
Analyze clearinghouse, ERA and EOB rejections and providing viable solutions where possible.
Coordinate with respective AR team leads for effective practice management.
Correction of assigned errors in TD.
Thorough verification of EDI files and coordination with NY office on paper claims printing in case of any issue.
Perform job roles in compliance with IS Policies and Procedures and acceptable usage of asset and services guidelines.
Regulatory, contractual and IS Policy violations are reported immediately to supervisors or appropriate authorities for rectification and disciplinary actions.

Requirements

Resource should have an experience of atleast 3 years in the relevant field.
Good understanding of full life cycle revenue cycle management.
Ability to effectively initiate and manage multi-disciplined projects. Up-to-date knowledge of reimbursement regulations and compliance issues of third party payers (Insurance companies).
Good communication and analytical skills.
Capable of managing accounts receivable with multiple third party managed care contracts.
Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers and external groups
Ability to identify opportunities and solutions for process improvement along with the skills of planning and implementation of these solutions.