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Medical Billing jobs in Mumbai, Maharashtra

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    • The candidate will be responsible for handling radiology prior authorization requests, verifying insurance information, reviewing clinical documentation, and…
    • View all US Process jobs - Mumbai, Maharashtra jobs - Medical Biller jobs in Mumbai, Maharashtra
    • Salary Search: Medical billing salaries in Mumbai, Maharashtra
    • The ideal candidate will have a strong understanding of medical billing practices and payer requirements.
    • Support billing audits and internal quality control…
    • Service Recovery in the billing Area.
    • Training of the HIS modules in billing with the power users.
    • Overseas/Corporate/Insured/TPA billing.
    • Ensure correct computation of billing as per respective guidelines, to issue billing adjustments, track, process and complete third-party invoices.
    • Assess cashless and reimbursement claims and review medical records.
    • Evaluate treatment charges, hospital tariffs, and medical necessity.
    • Ensure timely discharge billing and minimize billing-related delays.
    • Patient satisfaction regarding billing services.
    • Insurance and TPA Coordination*.
  • View similar jobs with this employer
    • Capping details, differentiation of open billing.
    • Check the medical admissibility of a claim by.
    • Classify non-medical expenses, room tariff,.
    • Investigating and resolving any billing errors or discrepancies raised by clients, including coordinating with relevant departments to correct.
    • Collaborate with team members or client billing departments to resolve complex issues.
    • Accurately document call notes, actions taken, and claim status in the…
    • Years of Experience:0 to 1 years.
    • Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today,…
    • The candidate will be responsible for handling radiology prior authorization requests, verifying insurance information, reviewing clinical documentation, and…
  • View similar jobs with this employer
    • *Interpret the ICD coding, evaluate co-pay details, classify non-medical expenses, room tariff, capping details, differentiation of open billing and package etc…
    • Maintain client billing records and documentation.
    • Coordinate with internal teams for billing information and status updates.
    • Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage.
    • Candidates will be assigned to a specific department based on experience and suitability.
    • 1 – 3 years of experience in TPA preferred.

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Job Post Details

Medical billing
US Process
Mumbai, Maharashtra
₹10,000 - ₹25,000 a month
Student job, Freelance, Internship, Volunteer, Fresher, Full-time
Apply now

Job details

₹10,000 - ₹25,000 a month
Health insurance, Paid sick time, Life insurance, Provident Fund
Student job, Freelance, Internship, Volunteer, Fresher, Full-time
Night shift, Rotational shift, US shift
Mumbai, Maharashtra

Full job description

Job Title: Medical Billing Executive – Prior Authorization

Job Description:

We are looking for a detail-oriented Medical Billing Executive to join our US Healthcare team. The candidate will be responsible for handling radiology prior authorization requests, verifying insurance information, reviewing clinical documentation, and coordinating with healthcare providers and insurance companies to ensure timely authorization of medical procedures.

Key Responsibilities:

- Process prior authorization requests for radiology and diagnostic imaging procedures.
- Verify patient insurance eligibility and benefits.
- Review clinical documents and patient information for authorization requirements.
- Follow up with insurance companies regarding pending, approved, or denied requests.
- Maintain accurate records and meet daily productivity and quality targets.
- Ensure compliance with company policies, data privacy standards, and HIPAA guidelines.
- Coordinate with internal teams to resolve authorization-related queries.

Requirements:

- Graduate in any discipline.
- Good English communication and basic computer skills.
- Attention to detail and willingness to learn US healthcare processes.
- Freshers and experienced candidates may apply, depending on the hiring requirements.
- Ability to work in rotational or US night shifts, if required.

Preferred Skills:

Basic English speaking

Work Environment: Healthcare Business Process Outsourcing (BPO)

Interested candidates who are eager to build a career in US healthcare are encouraged to apply.

Pay: ₹10,000.00 - ₹25,000.00 per month

Benefits:

  • Life insurance
  • Paid sick time
  • Provident Fund

Work Location: In person

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