Medical Billing: Demos & Charges- Senior /Process Associate - ( US Healthcare -Physician)
- Job Title
- – Medical Billing: Demos & Charges- Sr. Associate/ Process Associate
- Position
- Medical Billing – Demos & Charges
- Department
- Medical Billing / Revenue Cycle Management (RCM)
- Experience
- 2–4 years (US healthcare -Physician).
- Employment Type
- Full-time
- Shift Timings
- 8.30 AM - 5.30 PM
- Location
- Hyderabad
About Medco Global Services
Medco Global Services is a leading health technology company dedicated to bring innovations in revenue cycle management. We provide a range of services to providers and healthcare institutions empowered with world class healthcare analytics platform. At Medco Global Services., we are committed to enhancing the efficiency and effectiveness of healthcare systems
Job Summary
We are looking for a detail-oriented Medical Billing – Demos & Charges professional to handle patient demographics, insurance information, charge entry, and claim-related data accurately and efficiently. The candidate should have a good understanding of US healthcare billing and RCM processes.
Key Responsibilities
Demographics
Enter and update patient demographic information accurately in the billing system.
Verify patient information such as name, DOB, address, phone number, and guarantor details.
Verify and update insurance information, including member ID, group number, payer details, and policy information.
Check patient eligibility and insurance coverage when required.
Identify missing or incorrect demographic and insurance information and coordinate for corrections.
Maintain accurate patient records while following HIPAA and client confidentiality requirements.
Charges / Charge Entry
Enter and post medical charges accurately based on provider documentation and charge sheets.
Review charge information for completeness and accuracy before claim submission.
Validate CPT, HCPCS, ICD-10, modifiers, units, and place of service (POS) as applicable.
Ensure charges are entered under the correct provider, patient, date of service, and location.
Identify missing, duplicate, or incorrect charges and take appropriate corrective action.
Review charge entry for potential billing errors and discrepancies.
Work with the coding/billing team to resolve charge-related issues.
Ensure charges are entered within the required turnaround time.
Required Skills
Good knowledge of US healthcare medical billing and RCM.
Understanding of patient demographics and insurance verification.
Knowledge of CPT, HCPCS, ICD-10, modifiers, and POS codes.
Good understanding of charge entry and claim submission processes.
Strong attention to detail and data accuracy.
Good analytical and problem-solving skills.
Basic knowledge of MS Excel and medical billing software.
Good written and verbal communication skills.
Ability to meet productivity and quality targets.
Preferred Qualifications
Bachelor's degree or equivalent qualification.
2–4 years of experience in US healthcare medical billing.
Experience with EHR/EMR or medical billing systems such as Epic, Cerner, Athena, NextGen, etc., is preferred.
Knowledge of US insurance plans and payer requirements is an added advantage.
Key Performance Indicators (KPIs)
Demographic and insurance data accuracy
Charge entry accuracy
Daily productivity/volume
Turnaround time (TAT)
Quality/error rate
Claim rejection/error reduction
Compliance with client SOPs and HIPAA requirements
Excellent communication skills.
Ability to multitask.
Good Analytical, Oral and Written Skills.
- Typing Skills
- 30 words/min.
Familiar with Microsoft office suite.
- Education
- Graduation Mandatory.
- Location
- Hitech City - Hyderabad
Timings
Should be flexible with night shift timings (8:30 Am to 5:30 Pm).
5 Days work - Fixed shift (Saturday and Sunday Week off).
What We Offer
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- A collaborative and innovative work environment.
- The chance to make a meaningful impact on healthcare delivery and patient outcomes
- Job Type
- Full-time
- Pay
- ₹22,000.00 - ₹40,000.00 per month
Benefits
Health insurance
Provident Fund
Experience
- International voice process
- 1 year (Preferred)
- Work Location
- In person
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