Billing and Coding Specialist- Sep

MedExpert Billing; Chennai District; On-site; INR 200,000 - 350,000; Full time

Job summary

MedExpert Billing seeks an experienced Medical Billing/EMS Coding Specialist to enter EMS call report data into billing software and process claims efficiently. You will ensure compliance with HIPAA, Medicare/Medicaid regulations, and client requirements, while maintaining accuracy and timeliness.

The role emphasizes attention to detail, strong communication, and the ability to work within a cross-functional team to support revenue cycle processes.

Qualifications

• Must have a High School Diploma or equivalent.
• CPC certification and/or 2+ years’ experience in medical coding preferred.
• Knowledge of Medicare/Medicaid, insurance, and patient claims helpful.
• Ability to navigate HIPAA requirements and protect patient data.
• Experience in EMS or healthcare revenue cycle is desirable.

Responsibilities

• Enter data from EMS call reports into billing software accurately.
• Process pending and rejected claims promptly.
• Ensure compliance with client, company, and regulatory standards.
• Communicate effectively with team and Revenue Cycle Manager on discrepancies.
• Maintain high accuracy and meet client SLAs for turnaround times.

Skills

Medical coding

HIPAA compliance

Attention to detail

Communication

Time management

Education

High School Diploma

CPC certification (preferred)

Tools

Billing software

Microsoft Excel

EHR/EMR systems

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

• High School Diploma
• 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