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In Medical Billing jobs in Mumbai, Maharashtra

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    • The ideal candidate will have a strong understanding of medical billing practices and payer requirements.
    • Prepare and submit accurate claims in accordance with…
    • View all Kohinoor Techno Business Solutions jobs - Lower Parel, Mumbai, Maharashtra jobs - Medical Biller jobs in Lower Parel, Mumbai, Maharashtra
    • Salary Search: Medical Billing Specialist salaries in Lower Parel, Mumbai, Maharashtra
    • To participate in the appraisal scheme in accordance with Hospital policy.
    • Ensure correct computation of billing as per respective guidelines, to issue billing…
    • Billing accuracy and reduction in billing errors.
    • Reduction in insurance billing discrepancies and claim rejections.
    • Insurance and TPA Coordination*.
    • Having background in handling insurance calls.
    • Candidates should have experience in denial management.
    • *Perform analysis of accounts receivable data and…
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    • Billing and with the provider team in case of non-.
    • Capping details, differentiation of open billing.
    • Check the medical admissibility of a claim by.
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    • Billing and with the provider team in case of non-.
    • Capping details, differentiation of open billing.
    • Check the medical admissibility of a claim by.
    • Ability to work in rotational or US night shifts, if required.
    • The candidate will be responsible for handling radiology prior authorization requests, verifying…
    • Assess medical necessity and cross-check treatments against evidence-based clinical protocols.
    • Identify missing, insufficient, or ambiguous medical records and…
    • The candidate will be responsible for obtaining prior authorizations from insurance companies for medical procedures, services, and medications to ensure timely…
    • Service Recovery in the billing Area.
    • Training of the HIS modules in billing with the power users.
    • Overseas/Corporate/Insured/TPA billing.
    • Diploma in Medical Record Technician.
    • Safeguard patient privacy and ensure the security of medical records in compliance with HIPAA (Health Insurance…
    • Service Recovery in the billing Area.
    • Training of the HIS modules in billing with the power users.
    • Overseas/Corporate/Insured/TPA billing.
    • Accurately document call notes, actions taken, and claim status in the billing system.
    • Collaborate with team members or client billing departments to resolve…
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    • To inform the Network department in case of any erroneous billing / excess billing.
    • To approve Claims based on the buckets allotted to each approver.
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    • 1-3 years of experience in medical billing, payment posting, or revenue cycle management.
    • Strong understanding of insurance reimbursement, medical billing, and…

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Job Post Details

Medical Billing Specialist
Lower Parel, Mumbai, Maharashtra
₹30,000 - ₹35,000 a month
Permanent, Full-time

Job details

₹30,000 - ₹35,000 a month
Health insurance
Permanent, Full-time
Lower Parel, Mumbai, Maharashtra

Full job description

The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean claim rates. The ideal candidate will have a strong understanding of medical billing practices and payer requirements. This position reports to the Medicaid Billing Manager.

Core Responsibilities

  • Prepare and submit accurate claims in accordance with payer guidelines and customer billing cycles
  • Ensure all claim details are complete and error-free, including coding, provider information, and service dates
  • Review claims for accuracy and compliance with Medicaid, Medicare, VA, and payer regulations
  • Verify correct taxonomy codes, modifiers, and billing procedures to prevent rejections
  • Maintain a high clean-claims submission rate by thoroughly reviewing and validating claim information before submission
  • Ensure compliance with industry regulations, payer policies, and internal billing procedures
  • Maintain accurate and organized billing records and documentation
  • Identify and report billing trends, potential errors, and areas for process improvement
  • Collaborate with internal teams to standardize billing practices and enhance efficiency
  • Support billing audits and internal quality control measures
  • Other duties as assigned

Job Types: Full-time, Permanent

Pay: ₹30,000.00 - ₹35,000.00 per month

Benefits:

  • Health insurance

Work Location: In person

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