Billing Analyst

EMPClaim Solutions Inc.; Ahmedabad; On-site; INR 300,000 - 450,000; Full time

Job summary

ESP Engineered in Ahmedabad is seeking a skilled medical billing specialist. You will be responsible for preparing and submitting medical claims to insurers, monitoring payments, correcting rejected claims, and ensuring compliance with HIPAA regulations. The ideal candidate has a solid understanding of medical billing practices and will work closely with various teams to enhance the revenue cycle management process. If you thrive in a fast-paced environment and aim to improve billing accuracy, we want to hear from you.

Responsibilities

• Prepare, review, and submit accurate medical claims to insurance companies electronically and manually.
• Monitor and follow up on unpaid or delayed claims within the standard billing cycle timeframe.
• Correct and re-submit rejected or denied claims after verifying and resolving issues with payers.
• Work with the coding team to ensure accurate CPT, ICD, and modifier usage before claim submission.
• Maintain detailed records of all billing and payment activities in the billing system.
• Identify billing errors, underpayments, or trends affecting reimbursement and elevate as needed.
• Stay current with payer guidelines, insurance policies, and updates in medical billing codes.
• Ensure strict adherence to HIPAA compliance and patient data confidentiality.
• Coordinate with AR, Payment Posting, and Credentialing teams for smooth end-to-end RCM flow.
• Meet or exceed productivity and accuracy targets as defined by management.
• Participate in process improvement initiatives to optimize claim turnaround and reduce denials.

Skills

Scrubs

Rejections

Claim Submission

Charge Entry

Demographic

EVBV

Job description

• Prepare, review, and submit accurate medical claims to insurance companies electronically and manually.
• Monitor and follow up on unpaid or delayed claims within the standard billing cycle timeframe.
• Correct and re-submit rejected or denied claims after verifying and resolving issues with payers.
• Work with the coding team to ensure accurate CPT, ICD, and modifier usage before claim submission.
• Maintain detailed records of all billing and payment activities in the billing system.
• Identify billing errors, underpayments, or trends affecting reimbursement and elevate as needed.
• Stay current with payer guidelines, insurance policies, and updates in medical billing codes.
• Ensure strict adherence to HIPAA compliance and patient data confidentiality.
• Coordinate with AR, Payment Posting, and Credentialing teams for smooth end-to-end RCM flow.
• Meet or exceed productivity and accuracy targets as defined by management.
• Participate in process improvement initiatives to optimize claim turnaround and reduce denials.

Required Skills

• Scrubs
• Rejections
• Claim Submission
• Charge Entry
• Demographic
• EVBV