Company Overview

Spandana Hospital is a highly reputed healthcare institution located in Bangalore, dedicated to offering world-class health services at affordable costs. Our experienced team of medical and administrative professionals is committed to delivering high-quality tertiary and critical care. As a leader in the Hospital and Health Care industry, we are focused on patient-centered service for optimal health outcomes. For more information, visit our website.

Job Overview

We are seeking a Junior Medical Billing Executive to join our team in Bengaluru on a full-time basis. The ideal candidate will have 1 to 3 years of experience in the medical billing field. The individual will be responsible for handling multiple aspects of medical billing and collections while ensuring accurate billing processes are followed consistently.

Qualifications and Skills

• Proficient experience with Electronic Health Records (EHR) Software (Mandatory skill).
• Expertise in Claim Submission processes, ensuring timely and accurate transactions (Mandatory skill).
• Skilled in Payment Posting, efficiently processing payments and adjustments (Mandatory skill).
• Knowledge in CPT Coding, successfully using the correct code to expedite the billing process.
• Understanding of ICD-10 Coding, ensuring correct diagnostic labeling for insurance claims.
• Familiarity with HCPCS, effectively categorizing a variety of healthcare services and supplies.
• Revenue Cycle Management capability, overseeing the financial aspects from service delivery to payment.
• Proficient in Denial Management, identifying and appealing denied claims effectively.

Roles and Responsibilities

• Manage patient billing processes, ensuring timely and accurate charge entry into the system.
• Review and verify coding accuracy to comply with standard protocols and prevent rejections.
• Prepare and process claims, adhering to various insurance and billing guidelines.
• Resolve billing issues by routinely examining accounts and addressing discrepancies promptly.
• Post payments received from patients and insurance companies, maintaining precise records.
• Communicate effectively with insurance representatives and patients to reconcile account balances.
• Conduct regular follow-ups on unpaid claims and handle insurance denial appeals.
• Collaborate with the healthcare team to streamline billing operations and enhance efficiency.