Medical Billing / Cash Posting EX / Sr Ex / SME

Job description- Dear Candidate At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. Role: Medical Billing / Cash posting EX / Sr Ex / SME Location: Pune Viman Nagar ( Night Shifts ) WFO Experience: 1 to 7 Yrs. (No Opening for Freshers) CTC: 3 to 8 LPA Key Skills US Healthcare - Mandatory Charge Posting - Mandatory Payment Posting - Mandatory Provider Side - Mandatory Excellent Comm Skill - Mandatory Blended Process - Both Voice and non voice Process Preferred About Profile Review and analyze charge capture data for accuracy and completeness. Identify and correct charge errors and discrepancies. Collaborate with clinical and coding staff to resolve charge-related issues. Monitor and review billing processes to ensure compliance with payer guidelines. Identify billing errors and make necessary corrections to avoid claim denials. Ensure timely and accurate submission of claims to payers. Manage the resolution of denied claims by identifying root causes and correcting errors. Resubmit corrected claims to payers for reimbursement. Track and report on claim correction activities and outcomes. Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies. Stay updated on changes in billing regulations and payer requirements. Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination. Nice to Have Bachelors degree in business or accounting major is preferred. 1-7 years experience in U.S Healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts. Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations. Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims. Advanced experience with various insurance plans offered by both government and commercial insurances. Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance. U.S Healthcare Experience is must. *iMP Note Very Good to Excellent comm skill is Mandatory. - Payer experience, Please dont apply - Working in Backend or Claim Adjudication process please dont apply, - Working in Voice Process or outbound calls are Preferred - Good to Excellect Comm Skill Required Recruitment Drive Details Date: 21st July 2025 (Saturday) Reporting Time: 1:00 PM Point of Contact: Shreya Sinha +91-9708168419 (*WhatsApp Text Only) shreya.singh@medtronic.com Important Notes: Carry 1 hard copies of your resume and a government ID proof. Write "Shreya" at the top of your resume. Application Process to get the Gate Pass Drive Link: https://forms.office.com/e/sQfbueBrLu Please refrain from coming to the office for your interview until you have gained experience in the Voice Process. This experience is essential for the role and will help ensure a smoother interview process. Please note, this is part of a mass email. If you have already applied, kindly do not apply again. Share your Resume Regards, Shreya Sinha Sourcing Specialist shreya.singh@medtronic.com +91-9708168419 (WhatsApp Only)