Join Our Team at Staffingly, Inc. – Kondapur, Hyderabad

Location: Kondapur, Hyderabad

Type: Full-Time, On-Site (NO REMOTE)

Shift Timing: USA Shift (India Night): 6.30 PM IST – 3.30 AM IST

Start Date: Immediate

At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities to focus on what truly matters—exceptional patient care—by simplifying and streamlining their administrative processes.

Our comprehensive service offerings include handling intricate Prior Authorization processes, accurate insurance verifications, expert management of medication and procedural authorizations, full-spectrum Revenue Cycle Management (RCM), Medical Billing/Coding, Data Entry, and Customer Support services. With 24/7 operations, we ensure efficiency and responsiveness, supporting our clients in maintaining smooth and effective healthcare delivery.

If you’re passionate about making a meaningful impact in the healthcare industry by improving operational efficiencies and enhancing patient care, Staffingly, Inc. is the place for you. We are eager to see how your skills and expertise can contribute to our growth and success. For more information, visit us at https://staffingly.com

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🌍 Position Overview:

Staffingly, Inc. is seeking an experienced Medicare Part B Billing Representative with a strong background in pharmacy billing. The ideal candidate will have expertise in processing Part B claims, handling denials, and a thorough understanding of vaccine billing, including COVID-19 vaccines. The role requires meticulous attention to detail, the ability to research claims and denial codes effectively, and a commitment to accurately resubmitting claims to ensure they are successfully processed.

Key Responsibilities:

📝 Process Medicare Part B Claims: Efficiently handle the billing of Medicare Part B claims, ensuring accuracy and compliance with all regulatory requirements.

❌ Denial Management: Review and manage claim denials, researching denial codes, and determining the appropriate actions to resolve issues.

💉 Vaccine Billing: Demonstrate expertise in vaccine billing, including COVID-19 vaccines, ensuring all claims are correctly submitted according to current guidelines.

🔄 Claims Resubmission: Accurately resubmit claims after correcting errors or addressing denials, with the goal of ensuring successful claim processing.

🔍 Research & Analysis: Conduct thorough research on denied claims, utilizing available resources to understand the reasons for denial and identifying solutions to prevent future denials.

🗂️ Documentation & Reporting: Maintain detailed records of all claim submissions, denials, resubmissions, and resolutions, providing regular reports to management as needed.

📜 Compliance & Best Practices: Stay updated on Medicare Part B billing regulations and best practices, ensuring all processes align with current standards.

Qualifications:

📅 Experience: Minimum of 3 years of experience in Medicare Part B billing, with a focus on pharmacy-related claims.

📚 Knowledge: Strong understanding of vaccine billing, particularly for COVID-19, and familiarity with common denial codes and resolution strategies.

🧠 Skills: Excellent research, analytical, and problem-solving skills with a high level of accuracy and attention to detail.

💬 Communication: Strong verbal and written communication skills, with the ability to explain complex billing issues clearly.

💻 Technical Proficiency: Proficient in billing software and tools, with the ability to quickly learn and adapt to new systems.

Education:

🎓 Required: High school diploma or equivalent.

🎓 Preferred: Associate’s or Bachelor’s degree in a related field (e.g., Healthcare, Finance, Pharmacy).

🎁 Benefits:

💵 Provident Fund contributions.

⏰ Overtime and holiday pay.

🚌 On-site benefits, including travel allowances and meals.

🎉 Referral and birthday bonuses.

🌙 Night shift allowances.

🏆 Recognition through our “Employee of the Month” program.