Medical Billing / Cash Posting EX / Sr Ex / SME

Job description-

Dear Candidate

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You will lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.

Role: Medical Billing / Cash posting EX / Sr Ex / SME

Location: Pune Viman Nagar (Night Shifts) WFO

Experience: 1 to 7 Yrs. (No Opening for Freshers)

CTC: 3 to 8 LPA

Key Skills

US Healthcare - Mandatory

Charge Posting - Mandatory

Payment Posting - Mandatory

Provider Side - Mandatory

Excellent Comm Skill - Mandatory

Blended Process - Both Voice and non voice Process Preferred

About Profile

• Review and analyze charge capture data for accuracy and completeness.
• Identify and correct charge errors and discrepancies.
• Collaborate with clinical and coding staff to resolve charge-related issues.
• Monitor and review billing processes to ensure compliance with payer guidelines.
• Identify billing errors and make necessary corrections to avoid claim denials.
• Ensure timely and accurate submission of claims to payers.
• Manage the resolution of denied claims by identifying root causes and correcting errors.
• Resubmit corrected claims to payers for reimbursement.
• Track and report on claim correction activities and outcomes.
• Ensure all billing and charge correction activities comply with relevant laws, regulations, and internal policies.
• Stay updated on changes in billing regulations and payer requirements.
• Experience with various insurance plans offered by both government and commercial insurances (i.e., PPO, HMO, EPO, POS, Medicare, Medicaid, HRAs) and coordination of healthcare benefits, including requirements for referral, authorization, and pre-determination.

Nice to Have

• Bachelors degree in business or accounting major is preferred.
• 1-7 years experience in U.S Healthcare insurance collections, accounts receivable management, billing and claims processing, and insurance payor contracts.
• Advanced knowledge of insurance contracting, payor regulations, insurance benefits, coordination of benefits, managed care, and healthcare compliance, rules, and regulations.
• Advanced experience with reading, and understanding medical policy information, and utilizing insurance benefit and coverage information to recovery denied claims.
• Advanced experience with various insurance plans offered by both government and commercial insurances.
• Experience with medical billing and collections terminology CPT, HCPCS, ICD-10 and NDC coding, HIPAA guidelines and healthcare compliance.
• U.S Healthcare Experience is must.

*iMP Note

Very Good to Excellent comm skill is Mandatory.

- Payer experience, Please dont apply

- Working in Backend or Claim Adjudication process please dont apply,

- Working in Voice Process or outbound calls are Preferred

- Good to Excellect Comm Skill Required

Recruitment Drive Details
Date: 21st June 2025 (Saturday)
Reporting Time: 1:00 PM

Point of Contact:
Shreya Sinha
+91-9708168419 (*WhatsApp Text Only)
shreya.singh@medtronic.com

Important Notes:

• Carry 1 hard copies of your resume and a government ID proof.
• Write "Shreya" at the top of your resume.

Application Process to get the Gate Pass

Drive Link: https://forms.office.com/e/sQfbueBrLu

Please refrain from coming to the office for your interview until you have gained experience in the Voice Process. This experience is essential for the role and will help ensure a smoother interview process.

Please note, this is part of a mass email. If you have already applied, kindly do not apply again.

Share your Resume

Regards,
Shreya Sinha
Sourcing Specialist
shreya.singh@medtronic.com
+91-9708168419 (WhatsApp Only)