Medical Billing Insurance AR

Location: Sabarmati

Company Description  Prakruti Medsol LLP is a healthcare services organization focused on delivering reliable and efficient medical support solutions. The company is committed to accurate billing, streamlined insurance processes, and strong relationships with healthcare providers and payers. Team members collaborate to improve operational efficiency and ensure timely reimbursement for medical services. Prakruti Medsol LLP values integrity, attention to detail, and a patient-centered approach in all aspects of its work.

Role Description  This is a full-time, on-site Medical Billing Insurance AR role based in Ahmedabad. The role involves managing insurance accounts receivable, including reviewing and following up on outstanding claims with insurance companies. The individual will handle claim denials, perform timely re-submissions, and ensure correct usage of medical codes, including ICD-10, to support accurate billing. Daily tasks include verifying insurance coverage, coordinating with internal teams and payers, updating billing systems, and maintaining detailed documentation of all activities.

The role also requires maintaining compliance with payer guidelines, supporting Medicare-related billing, and contributing to process improvements to reduce denials and optimize collections.
Qualifications

Strong understanding of Medical Terminology to interpret clinical documentation and billing requirements.
Experience working with Insurance and Medicare processes, including eligibility, coverage verification, and payer-specific policies.
Knowledge of ICD-10 coding and its application in medical billing and claims submission.
Hands-on experience handling Denials, including root-cause analysis, appeal preparation, and resolution of outstanding AR.
Prior experience in medical billing, insurance AR, or revenue cycle management in a healthcare setting.
Ability to work with billing software and electronic health record (EHR) systems; proficiency in basic computer tools (e.g., spreadsheets, email).
Strong analytical and problem-solving skills, with high attention to detail and accuracy.
Effective written and verbal communication skills, with the ability to interact professionally with payers and internal stakeholders.
Ability to work on-site in Ahmedabad, manage time efficiently, and handle a high volume of claims.
Relevant education in healthcare administration, billing, finance, or a related field is preferred.