Medical Accounts Receivable Representative Surgical Information Systems

2.0 - 6.0 years

0 Lacs

noida, uttar pradesh

On-site

You will be responsible for working through a book of Accounts Receivable (AR) and developing a plan to maintain proper coverage on all accounts. This includes reviewing aged accounts, tracing, and appealing unpaid or erroneously paid/denied accounts. You will work on all denials and rejections received by researching steps previously taken and taking additional action as necessary to resolve the claim. Additionally, you will review and correct claim rejections received from the clearinghouse, verify eligibility, coverage, and claim status online through insurance portals, and resubmit insurance claims that have received no response or are not on file. Furthermore, you will transfer outstand...

Posted 2 months ago

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SME Denial Management Zapare Technologies Pvt Ltd

2.0 - 6.0 years

0 Lacs

thrissur, kerala

On-site

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

Posted 3 months ago

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SME - Denial Management Zapare Technologies

2.0 - 3.0 years

4 - 5 Lacs

Kochi, Ernakulam, Thrissur

Work from Office

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Posted 3 months ago

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RCM Team Lead - AR Calling & Denial Management Logixhealth

8.0 - 12.0 years

8 - 12 Lacs

Bengaluru

Work from Office

Location: Coimbatore Job Type: Full-Time, Onsite (Night Shift) Experience Required: 10+ years Shift Timings: US Shift 6:30 PM to 3:30 AM Notice Period: Immediate to 30 Days About LogixHealth LogixHealth is a physician-founded company delivering cutting-edge revenue cycle management services to healthcare providers nationwide. With a commitment to driving better healthcare outcomes, we combine advanced technology, clinical insight, and unmatched service excellence. Since the 1990s, we have expanded across 40 states, providing innovative coding, billing, and business intelligence solutions that allow providers to focus on patient care while we ensure financial success. Discover more about us a...

Posted 5 months ago

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RCM Team Lead - AR Calling & Denial Management Logixhealth

10.0 - 14.0 years

8 - 12 Lacs

Coimbatore

Work from Office

Posted 5 months ago

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