Company Overview
Spandana Hospital is dedicated to providing world-class healthcare services at an affordable cost. As a heart and superspeciality hospital, we are committed to high-quality tertiary and critical care. Our team consists of highly trained and dedicated medical, administrative, and supportive staff, ensuring a patient-centered approach. Located in Bangalore, Spandana Hospital aims to deliver exceptional healthcare, reflecting our mission to serve society effectively.
Job Overview
We are seeking a Junior IP Billing Executive to join our team at Spandana Hospital in Bengaluru. As a full-time position, the role is integral to our billing department, focusing on efficient billing processes and patient records management. The ideal candidate will possess expertise in Medicare/Medicaid billing and EHR systems, supporting our mission to provide affordable and high-quality healthcare services.
Qualifications and Skills
- Proficiency in Medicare/Medicaid billing, essential for accurate processing and compliance (Mandatory skill).
- Experience with Electronic health record (EHR) systems, crucial for managing patient data efficiently (Mandatory skill).
- Strong aptitude in insurance verification, vital for patient coverage assessment and correct billing (Mandatory skill).
- Understanding of ICD-10 coding standards for accurate diagnosis coding and billing.
- Familiarity with CPT coding to ensure proper coding of procedures and services.
- Knowledge of revenue cycle management principles to optimize financial performance.
- Experience in denial management, essential for reducing claim denials and improving revenue.
- A thorough understanding of HIPAA compliance to safeguard patient information and ensure privacy.
Roles and Responsibilities
- Manage the billing process, ensuring the accurate and timely submission of claims.
- Verify patient insurance coverage and ensure pre-certification and authorization requirements are met.
- Collaborate with medical staff to ensure proper implementation of coding practices and chart documentation.
- Handle denial management processes by analyzing rejections and initiating appeals when necessary.
- Maintain comprehensive EHR system records in accordance with hospital procedures.
- Ensure billing procedures comply with Medicare/Medicaid and other insurance regulations.
- Respond to billing inquiries from patients and other stakeholders promptly and professionally.
- Participate in process improvement initiatives to enhance billing practices and efficiency.
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