Senior Medical Billing Specialist (U.S. Healthcare)

Job Title: Senior Medical Billing Specialist (U.S. Healthcare)

Company: Cancard International Pvt Ltd

Location: Noida / New Delhi

Role Type: Fulltime Office Based

MANDATORY REQUIREMENT: 5 Year of US Healthcare Billing Experience

Cancard Inc and Advaa Health area looking for an experienced, engaged, and hands-on healthcare marketing leader for the position of Sr Global Marketing Manager, Digital Marketing to help drive development, launch and successful commercialization of an innovative portfolio of digital healthcare products for global markets.

Cancard, Inc is a multi-technology company operating in Markham (Toronto) since in 1989. Both at Cancard and its sister business Advaa Health, we are pioneering the transformation of primary healthcare through technological innovation. Our mission is to empower primary care physicians by providing them with state-of-the-art digital tools and solutions that not only streamline their practice but also significantly reduce administrative burdens and operational costs. In an era where healthcare professionals face increasing paperwork and complex administrative tasks, we stand as a key partner in enabling physicians to focus on what truly matterspatient care.

Our portfolio of healthcare products leverages the latest technologies in data analytics, artificial intelligence, and cloud computing to offer seamless, intuitive, and cost-effective solutions. By integrating our systems, primary care practices can enhance patient engagement, optimize appointment scheduling, automate billing and coding processes, and access comprehensive patient health records in real-time. This not only improves the quality of care provided but also contributes to a noticeable reduction in overhead costs.

This position will oversee and execute complete billing function for our US hospital clients and requires candidates to have advanced knowledge of payer rules, denial management, and revenue cycle workflows. The Medical Billing Specialist will serve as a subject matter expert within Cancard and Advaa Health, ensuring accurate claim submission, timely reimbursement, and compliance with federal, state, and payer regulations, while supporting process improvements and mentoring junior staff.

KEY RESPONSIBILITIES:

Minimum 46 years of progressive experience in U.S. medical billing and revenue cycle management.

Demonstrated expertise in end-to-end billing workflows, including charge capture, claim submission, payment posting, denial management, and appeals.

Advanced working knowledge of ICD-10-CM, CPT, HCPCS coding guidelines and modifier usage.

Strong understanding of Medicare, Medicaid, and commercial payer policies, including LCDs, NCDs, and payer-specific billing rules.

Proven ability to independently manage complex, high-dollar, or aged accounts through resolution.

Hands-on experience with A/R aging analysis, underpayment identification, and reimbursement variance investigation.

Proficiency in EHR and practice management systems; ability to quickly learn new billing platforms.

In-depth knowledge of HIPAA, CMS regulations, and healthcare billing compliance standards.

Ability to interpret EOBs, ERAs, fee schedules, and payer contracts to validate reimbursement accuracy.

Strong analytical skills with attention to detail and a high level of accuracy.

Excellent written and verbal communication skills for interacting with payers, providers, and internal stakeholders.

QUALIFICATIONS:

Professional certification such as CPB (Certified Professional Biller), CPC, CCS, or equivalent

Experience serving as a subject matter expert or escalation point for complex billing issues

Prior involvement in training, mentoring, or quality review of junior billing staff

Experience supporting internal or external audits, compliance reviews, or payer recoupments

Familiarity with multi-state billing, multi-specialty practices, or high-volume environments

Experience with denial trend analysis, root cause identification, and process improvement initiatives

Exposure to value-based care models, risk adjustment, or alternative payment methodologies

Advanced Excel or reporting skills for tracking KPIs, A/R metrics, and reimbursement trends

WHAT WE OFFER:

Competitive salary and benefits package.

Flexible working hours.

A dynamic and supportive work environment with opportunities for professional growth and development.

The chance to work on meaningful projects that have a real impact on healthcare.

HOW TO APPLY:

Please submit your resume, cover letter, and any relevant work samples or project portfolios to HR@cancard.com. In your cover letter, explain why you're interested in this role and how your background and experience make you a good fit for our team.

We thank all applicants for their interest in joining Cancard, but only those selected for an interview will be contacted. Cancard is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.