Medical Claims Processing jobs in Bengaluru, Karnataka

1. Medical Biller (PO) – Priority (2 openings)

· Experience: 2–6 years

· Mandatory: No AR Calling – we strictly need candidates for claim processing and payment posting (Day shift)

· EHR experience required: Athena, eCW, ModMed, NextGen, RTZ

Medical Biller- Job Overview

We are seeking an experienced Medical Biller to join our Revenue Cycle Management team. The ideal candidate will have hands-on experience in end-to-end medical billing processes, strong analytical skills, and the ability to ensure accurate and timely claims submission, follow-ups, and payments.

Key Responsibilities:

● Prepare, review, and submit clean claims to insurance companies electronically or by paper.

● Follow up on unpaid claims within standard billing cycles.

● Identify and resolve billing errors or denials, ensuring maximum reimbursement.

● Post insurance and patient payments accurately to respective accounts.

● Maintain patient confidentiality and adhere to HIPAA guidelines.

● Communicate effectively with insurance companies, patients, and internal teams.

● Manage aging reports, perform account audits, and process necessary adjustments.

● Support month-end closing activities by reconciling billing data.

● Required Skills and Competencies

● Strong understanding of US healthcare billing processes (CMS-1500, UB-04).

● Knowledge of ICD-10, CPT, and HCPCS coding standards.

● Experience in working with EHR / EMR systems and billing platforms (e.g., Kareo, AdvancedMD, Athena, DrChrono, etc.).

● Proficiency in denial management, payment posting, and AR follow-up.

● Excellent attention to detail, analytical, and communication skills.

● Ability to work independently and collaboratively in a team setting.

Required qualifications:

● Bachelor’s degree or equivalent in Healthcare Administration, Accounting, or a related field.

● 2–4 years of proven experience in US medical billing or RCM operations.

● Certification in medical billing or coding (CPC/CPB) is a plus.

Job Types: Full-time, Permanent

Benefits:

• Health insurance
• Provident Fund

Ability to commute/relocate:

• Bengaluru, Karnataka (560095): Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 2 years (Required)
• Payment posting: 2 years (Preferred)
• claim processing: 2 years (Preferred)

Work Location: In person