Billing and Coding Specialist - Oct

MedExpert Billing; Chennai District; On-site; INR 300,000 - 600,000; Full time

Job summary

MedExpert Billing is seeking an EMS billing specialist to maximize client reimbursements by accurately entering ambulance call reports into billing software, following compliance standards. The role includes handling pending claims, producing client reports, and maintaining high service levels.

Candidates should have CPC certification or equivalent medical coding experience, with strong attention to detail and the ability to learn new software quickly.

Qualifications

• 1+ year experience in healthcare office, production, clinical environment or similar setting
• Strong ability to learn new software rapidly
• Self-motivated with ownership of work
• Ability to apply sound judgment in ambiguous scenarios
• Knowledge of HIPAA, Medicare, Medicaid, insurance and liability regulations
• Adaptable to changes in work environment and priorities
• Willing to receive feedback and apply it
• Excellent verbal and written communication skills
• Detail-oriented with accuracy focus
• Ability to manage time and productivity on repetitive tasks
• EMS/EMS billing or healthcare revenue cycle experience preferred
• Medicare/Medicaid/insurance knowledge and claims handling

Responsibilities

• Enter data from ambulance call reports into billing software per standards
• Provide feedback to Revenue Cycle Manager on deficiencies and variances
• Process pending and rejected claims timely and accurately
• Process and distribute front-end client reporting timely and accurately
• Maintain strong customer service to address client needs
• Meet/exceed client SLAs for billing turnaround and compliance
• Perform tasks professionally and in compliance with policies and regulations
• Support company mission and values
• Handle special projects or meetings as directed
• Provide backup to Coding Specialists and Revenue Cycle Specialists
• Provide backup to Customer Service Department as needed

Skills

Healthcare coding

Attention to detail

Communication skills

Critical thinking

HIPAA/regulations knowledge

Education

CPC certification

Medical coding experience

Job description

Maximize client reimbursement through accurate and timely entry and processing of ambulance call reports

(ACR’s) in accordance with client, company, and compliance standards.

Roles and Responsibilities

• Using various defined resources along with sound judgment and critical thinking, enter direct and interpreted data from ACR’s into billing software, ensuring adherence to client, company, and compliance standards
• Provide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory
• Process all assigned pending and rejected claims in a timely and accurate manner
• Process and distribute all front-end client reporting in a timely and accurate manner
• Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs
• Meet or exceed contracted client SLAs concerning billing turn-around-times and compliance standards on a consistent basis
• Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations
• Consistently support and demonstrate the company mission and values
• Perform other necessary tasks as assigned
• Involvement in special projects or meetings as directed
• Provide backup assistance to other team Coding Specialists and Revenue Cycle Specialists as needed
• Provide backup assistance to Customer Service Department as needed

Required Skills and Qualifications

• At least one-year experience in a healthcare office, production, or clinical environment or comparable classroom experience
• Strong comfort level learning new computer programs and software at a rapid pace
• Self-motivated, goal-oriented, and takes ownership of work
• Ability to effectively apply sound judgment and critical thinking in order to properly navigate through ambiguous scenarios
• Ability to learn, understand, and work within specific client requirements
• Ability to learn, understand, and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines
• Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
• Willing and able to receive positive and negative feedback and apply it to the work environment in an appropriate and effective manner
• Good verbal and written communication skills
• Positive interpersonal skills with the ability to function well within a cross-functional team setting and independently
• Detail-oriented with a strong desire for accuracy
• Must be able to manage time and maintain focus, concentration, and productivity while performing repetitive and sometimes mundane work
• CPC certification and/or 2+ years’ experience in medical coding strongly preferred
• Prior EMS billing or EMS or healthcare revenue cycle experience
• Detailed knowledge of Medicare, Medicaid, insurance, and patient claims