3 - 6 years

3 - 5 Lacs

Posted:5 days ago| Platform: Naukri logo

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Work Mode

Remote

Job Type

Full Time

Job Description

Certified Medical Biller

Key Responsibilities:

  • Manage the

    end-to-end Revenue Cycle Management (RCM)

    process for mental health billing.
  • File and submit claims

    through

    Waystar Clearinghouse

    , ensuring compliance and timely reimbursement.
  • Conduct

    claim follow-ups

    , resolve denials, and manage appeals with insurance companies.
  • Verify insurance eligibility, obtain authorizations, and rectify discrepancies in billing data.
  • Collaborate with clinical and administrative staff to ensure accurate charge capture and coding.
  • Generate biweekly billing and performance reports

    to support financial transparency.
  • Respond to patient billing inquiries and assist in resolving account balances.
  • Ensure proper use of CPT, ICD-10, and modifiers relevant to mental health services.
  • Stay current on payer policies, HIPAA regulations, and billing compliance updates.

    Qualifications:

  • Certified Medical Biller

    Mandatory
  • Minimum 3+ years of experience

    in US Medical Billing - Mandatory
  • Experience using Waystar Clearinghouse

    Mandatory
  • Strong command of claim submission, denial management and insurance follow-ups
  • In-depth understanding of

    RCM best practices

    and mental health billing nuances
  • Proficiency in billing and EHR systems [Novoclinical - Preferred but not mandatory]
  • Strong attention to detail, confidentiality and communication skills
  • Familiarity with working individually with a private practice
  • Prior work in a

    behavioral or mental health practice setting


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