About the Role
The specialist will ensure accurate medical billing for Durable Medical Equipment within an AI-supported environment, maintaining compliance with Indian healthcare regulations and contributing to process improvements.
Responsibilities
- Verify insurance coverage for DME claims
- Process and submit medical claims accurately
- Follow up on unpaid or denied claims
- Ensure compliance with healthcare billing regulations
- Collaborate with healthcare providers for documentation
- Maintain patient billing records
- Resolve billing discrepancies
- Support audit readiness for billing processes
- Input data into billing systems with high accuracy
- Communicate with patients regarding billing inquiries
- Review medical documentation for coding accuracy
- Assist in training on billing protocols
- Monitor claim status and escalate when necessary
- Apply coding standards to DME billing
- Maintain confidentiality of patient information
- Adhere to internal compliance guidelines
- Track reimbursement trends
- Support financial reporting for billing cycles
- Coordinate with insurance providers
- Identify opportunities for process improvement
- Ensure timely submission of claims
- Validate patient eligibility
- Manage appeals for rejected claims
- Use electronic health record systems
- Support AI model training with real-world billing data
Nice to Have
- Certification in medical billing or coding
- Experience with AI or machine learning projects
- Familiarity with Indian insurance systems
- Prior work in remote healthcare roles
- Experience supporting technology-driven healthcare solutions
Compensation
Competitive salary based on experience
Work Arrangement
Remote
Team
Collaborative team working on AI integration in healthcare administration
Project Focus
- Supporting development of AI tools for billing accuracy
- Contributing real-world data to improve automation
- Ensuring regulatory alignment in AI training
Technology Environment
- Work with AI-integrated billing platforms
- Use secure cloud-based systems
- Engage with data validation tools
Not applicable
