Job Opening For Billing position - Ruby Hall Clinic - Hinjawadi

Roles and Responsibilities

Team Leadership

• Supervise, train, mentor, and evaluate billing and coding personnel.
• Monitor team performance and ensure adherence to billing standards and departmental KPIs.
• Conduct regular training sessions to enhance staff knowledge and productivity.

Claim Management

• Oversee the timely submission of electronic and paper claims to insurance companies, TPAs, and other payers.
• Review claim accuracy before submission to minimize denials and payment delays.
• Ensure compliance with payer-specific billing requirements.

Revenue Cycle Management

• Monitor Accounts Receivable (AR) and follow up on outstanding claims.
• Analyze claim denials and coordinate appeals, corrections, and resubmissions.
• Generate and review revenue cycle reports to identify trends and improvement opportunities.

Department Coordination

• Collaborate with nursing, pharmacy, diagnostics, and other clinical departments to ensure accurate charge capture and documentation.
• Resolve discrepancies related to billing, coding, and insurance claims.

Patient & Insurance Support

• Address patient billing inquiries and insurance-related disputes professionally and efficiently.
• Maintain high standards of customer service while resolving financial concerns.

Compliance & Quality Assurance

• Ensure all billing operations comply with healthcare regulations, insurance contracts, privacy laws, and organizational policies.
• Conduct periodic audits to ensure billing accuracy and regulatory compliance.

Requirements & Qualifications

Education

• Bachelors degree in Finance, Accounting, Healthcare Administration, Business Administration, or a related field.

Experience

• 5 to 10 years of experience in medical billing, hospital billing, or healthcare revenue cycle management.
• Prior supervisory or team leadership experience preferred.

Technical Knowledge

• Strong understanding of medical terminology and other applicable systems.
• Familiarity with hospital billing software, HIS/EMR systems, and insurance claim processing.

Perks and Benefits

As per company standards.