Senior Associate -Medical Billing

Job Description

Roles & Responsibilities:

Eligibility Verification:

• Verify patient eligibility and benefits through payer portals and insurance calls
• Work on eligibility-related denials and exceptions
• Handle eligibility faxes and paper claims
• Review and resolve eligibility bucket scenarios
• Identify and resolve insurance-related issues impacting claims
• Ensure accurate insurance information to avoid future denials
• Maintain and update process documents/SOPs when required

Payment Posting:

• Perform ERA and EOB payment posting activities
• Work on electronic and paper remittances
• Handle payment posting from AR escalations
• Perform manual posting of EOBs received through email/fax
• Reconcile payer portals to ensure all payments are posted accurately
• Identify and report payment discrepancies and enrollment-related issues

Qualifications

• Good understanding of US Healthcare End-to-End RCM process
• Experience in Physician RCM preferred
• Strong communication skills (written and verbal)
• Good email and telephone etiquette
• Proficiency in MS Office (Word, Excel, PowerPoint, Outlook)
• Ability to work with insurance portals and payer websites
• Knowledge of reporting and process metrics based on experience level

Additional Information

• Transportation Faciity for Females/ Travel allowance for Males
• Health Insurance and Other Benefits