Reach us: info@gentrel.com
About the Role
Claim Resolution: Investigate and resolve denied, rejected, or underpaid claims from insurance payers (e.g., Medicare, Medicaid, Commercial insurers).
Payer Follow-Up: Contact payers via phone, online portals, or written appeals to collect on outstanding accounts receivable.
EOB Analysis: Analyze Explanation of Benefits (EOBs) and Remittance Advices (RAs) to identify discrepancies and appeal incorrect payments.
Coding Knowledge: Understand and apply basic medical coding (CPT, HCPCS, ICD-10) and billing guidelines to validate claims.
Account Reconciliation: Work aging reports to prioritize collection efforts and meet cash collection targets.
Requirements
Demonstrated experience in healthcare accounts receivable or medical billing.
Comprehensive understanding of HIPAA, payer regulations, and the medical claims process.
Familiarity with major payer portals (e.g., Availity, Navinet) and medical billing software (e.g., Epic, Cerner, NextGen).
Strong grasp of medical terminology, CPT/HCPCS, and ICD-10 codes.
Excellent problem-solving abilities for handling denials and appeals.
About the Company
Founded in India, Gentrel Business Solutions LLP combines expertise in specialty-focused billing with advanced technology. Gentrel is dedicated to transforming the medical billing landscape for US healthcare providers. With a commitment to excellence, we focus on enhancing billing accuracy and streamlining processes for our clients.