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

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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).