Medical Billing Expert // Onsite (Hyderabad) // 7KingsCode

Position Title: Medical Billing Expert

Department: Revenue Cycle Management

Reports To: Director of Operations / COO

Position Overview

Med Tek is seeking a highly experienced and detail-oriented Medical Billing Expert to oversee and execute the full revenue cycle process. This role is responsible for ensuring maximum reimbursement, minimizing denials, accelerating collections, and maintaining strict compliance with Medicare, Medicaid, and commercial payers.

This is a high-performance position requiring deep knowledge of RCM, payer policies, denial management, and regulatory compliance.

Key Responsibilities

              •            Manage end-to-end billing operations (charge entry → submission → payment posting → AR follow-up)

              •            Submit clean claims to Medicare, Medicaid, and commercial payers

              •            Analyze and resolve claim denials (L3, ADRs, suppressed payments, etc.)

              •            Handle appeals, redeterminations, and reopening requests

              •            Monitor clearinghouse rejections and correct claims timely

              •            Conduct insurance eligibility and benefits verification oversight

              •            Reconcile ERA/EOB payments and post accurately

              •            Monitor aging reports and reduce AR > 60/90 days

              •            Work closely with providers to ensure accurate documentation for billing

              •            Ensure compliance with CMS, HIPAA, and payer guidelines

              •            Maintain KPI dashboards (collection rate, denial rate, AR days, etc.)

Required Qualifications

              •            7+ years experience in medical billing (Medicare-heavy experience required)

              •            Strong knowledge of CMS guidelines and commercial payer rules

              •            Experience handling ADR submissions and appeals

              •            Proficiency in EMR/EHR systems and clearinghouses

              •            Deep understanding of CPT, HCPCS, ICD-10

              •            Ability to manage high claim volume with accuracy

              •            Strong analytical and problem-solving skills

Preferred

              •            Experience in urgent care, wound care, lab, or specialty practices

              •            Familiarity with PECOS, I&A, IVR systems

              •            Experience managing multi-location practices.