Responsible for accurate insurance claim submission and payment posting while ensuring compliance, reconciliation, and revenue integrity across the billing lifecycle.
Job Description
Key Responsibilities
Prepare and submit insurance claims, ensuring accuracy, completeness, and compliance
Verify patient demographics and insurance details prior to claim submission
Accurately post payments from insurance companies, Medicare, Medicaid, and patients into the billing system
Reconcile payment discrepancies, underpayments, and variances to maintain accurate financial records
Identify and resolve billing issues and payment inconsistencies in a timely manner
Respond to billing-related inquiries and support issue resolution as required
Meet defined quality, productivity, and turnaround time benchmarks
Qualifications
Minimum 2 years of experience in medical billing and payment posting
Strong understanding of revenue cycle management processes
Working knowledge of U.S. insurance plans and payer reimbursement workflows
Prior experience with medical billing software preferred (client-specific training will be provided)
Demonstrated understanding of HIPAA regulations and data confidentiality
Skills
Strong attention to detail with analytical and problem-solving abilities
Proficiency in MS Office applications
Clear and effective English communication skills
Ability to multitask and perform in a deadline-driven environment
Additional information
Client-specific medical billing system training will be provided
Role requires high accuracy, consistency, and compliance adherence
Opportunity to work with U.S. healthcare payers and end-to-end billing workflows