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
Skills Required
- At least 2 years of experience in hospital billing or medical billing
- Experience processing hospital billing using UB-04 forms for IPA and commercial claims
- Proficiency with payment systems
- Knowledge of inpatient and outpatient billing workflows
- Experience with denial management and appeals
- Knowledge of IPPS, OPPS, APC fee schedules, DRG, and APR-DRG reimbursement methodologies
- Proficiency with revenue codes and HCPCS denials
- Understanding of bundled payments, case rate concepts, and payment variance identification
- Experience working with EMR or Practice Management Systems
- Ability to manage aged accounts receivable and high-value accounts
What We Do
SHAI is a technology-enabled healthcare services provider focused on Revenue Cycle Management (RCM) for the US healthcare sector. It combines proprietary technology, industry expertise, and efficient processes to help medical billing companies, physician groups, and hospitals optimize revenue, reduce claim denials, and maintain compliance. The company supports healthcare organizations in navigating complex financial and operational challenges.
