Medical Billing Specialist

Role & responsibilities

• Review and process healthcare insurance claims accurately according to payer guidelines and company policies.
• Verify patient details, insurance eligibility, benefits, and claim information.
• Analyze claims for accuracy, completeness, and compliance with established procedures.
• Identify claim discrepancies, errors, and missing information and take appropriate action.

Preferred candidate profile

• Minimum 1+ year of experience in Claims Adjudication or Healthcare RCM.
• Knowledge of US healthcare insurance claims processing and payer guidelines.
• Understanding of claim forms such as CMS-1500 and UB-04 is preferred.
• Familiarity with claim denials, EOBs (Explanation of Benefits), and ERA (Electronic Remittance Advice) is an advantage.

Abarna HR : [phone removed]