Greetings from Synthesis Healthcare!!!

We are hiring Hospital Billing at Chennai location.

Job Description

Experience with in hospital billing (UB-04) with IPA & Commercial claims processing

At least 2 years of experience in hospital billing & Proficient in Payment systems

Comprehensive knowledge of Under payment & Over Payment scenarios,

Manage high-value and aged accounts receivable claims while ensuring accurate documentation in billing systems.

Achieve daily productivity and quality standards while adhering to HIPAA regulations and payer guidelines.

Job Requirements

Experience with hospital billing (UB-04) with IPA & Commercial claims processing

Strong knowledge in inpatient (IP) and outpatient (OP) billing workflows, denial management and appeals process

At least 2 years of experience in medical billing, specializing in Payment systems and contract sheet validation (IPPS & OPPS, APC Fees Schedule, DRG & APRDRG)

Proficient in Revenue codes, and HCPCS denial, with a comprehensive understanding of reimbursement methodologies, bundled payments, Case rate concepts, Payment variance identification

Experience in working with EMR / Practice Management Systems and ability to work on aged AR and high-value accounts

Competências necessárias

Hospital billing (UB-04)IPA and commercial claims processingPayment systems proficiencyPayment variance identification and resolution (underpayment/overpayment)Aged and high-value accounts receivable managementBilling systems documentation and recordkeepingHIPAA and payer guideline complianceInpatient and outpatient (IP/OP) billing workflowsDenial management and appeals processContract sheet validation (IPPS, OPPS, APC Fee Schedule, DRG & APRDRG)Revenue code application and HCPCS denial managementReimbursement methodologies (bundled payments, case rate concepts)EMR / Practice Management Systems proficiencyAdherence to productivity and quality standards

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