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Cytecare Hospitals Pvt Ltd
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IP Billing & Insurance

IP Billing & Insurance

Cytecare Hospitals Pvt Ltd

2 - 7 years

3 - 6 Lacs

Bengaluru

Posted:1 month ago| Platform:

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Skills Required

Patient Communication Skills Insurance Verification & Authorization Collaboration with Clinical Teams Revenue Cycle Management Understanding of DRG & Inpatient Billing Rules Excel & Reporting Tools Proficiency with UB-04 Claims Form

Work Mode

Work from Office

Job Type

Full Time

Job Description

Role & responsibilities Verify Patient Insurance Coverage Confirm inpatient benefits, eligibility, and coverage details with insurance providers prior to or during admission. Obtain Pre-authorizations & Pre-certifications Secure necessary approvals from payers for inpatient services to ensure reimbursement. Generate and Submit Claims Prepare accurate claims using UB-04 forms , ensuring correct coding (ICD-10, CPT, HCPCS) and charge entry for inpatient services. Review and Interpret EOBs & Remittance Advice Analyze Explanation of Benefits (EOBs) and Remittance Advices to identify payment issues, denials, or short pays. Manage Claim Denials and Appeals Investigate denied or underpaid claims, correct billing issues, and submit appeals or reconsiderations to insurance carriers. Coordinate with Clinical and Administrative Teams Work with physicians, nurses, and case managers to ensure documentation accuracy and timely billing. Track and Follow Up on Outstanding Claims Monitor aging reports and follow up with payers to ensure timely payment of inpatient claims. Resolve Patient Billing Inquiries Address patient concerns regarding coverage, out-of-pocket costs, and payment options in a clear, professional manner. Ensure Regulatory Compliance Adhere to HIPAA, Medicare/Medicaid regulations, and payer-specific billing rules and guidelines. Maintain Accurate Billing Records and Reports Document claim activity, maintain billing logs, and generate reports for management or audits. Preferred candidate profile Qualification : B.COM Experience : Minimum 1 year to a maximum of 10 years in Inpatient (IP) Billing & Insurance within the hospital industry Contact Person Ashika - 8660641655 Recruiter

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Cytecare Hospitals Pvt Ltd

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Bangalore

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IP Billing & Insurance