616 Appeals Jobs - Page 6

As an Associate Manager - IP billing & Insurance (RCM) at our company, your role will involve the following responsibilities: - Verify Patient Insurance Coverage: You will be responsible for confirming inpatient benefits, eligibility, and coverage details with insurance providers prior to or during patient admission. - Obtain Pre-authorizations & Pre-certifications. - Generate and Submit Claims: Your duties will include preparing and submitting accurate claims using UB-04 forms, ensuring proper coding (ICD-10, CPT, HCPCS), and charge entry for inpatient services. - Manage Claim Denials and Appeals. - Coordinate with Clinical and Administrative Teams: You will collaborate with physicians, nur...

As an Authorization Specialist in Revenue Cycle Management, you play a critical role in ensuring timely and accurate processing of patient services by obtaining prior authorizations, referrals, and approvals from insurance companies. Your strong knowledge of insurance policies, excellent communication skills, and efficient navigation of insurance portals are essential for supporting revenue integrity and minimizing claim denials. Key Responsibilities: - Verify patient insurance coverage and benefits for authorization requirements. - Collaborate with clinical staff, providers, and insurance companies to ensure timely submission of necessary documentation. - Maintain accurate records of all au...

Responsibilities: Regulatory compliance: Ensure that the department complies with industry standards and government regulations Patient and Insurance payments: Follow up with patients who have not paid their bills Financial responsibility: Confirm who is financially responsible for a particular visit Communication: Ensure that all departments communicate effectively Problem-solving: Resolve disputes between staff and balance budgets Interpersonal skills: Use empathy and leadership to manage staff and departments Strategic planning: Implement policies and procedures to improve operations

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Candidates can share resume to WhatsApp Also ( 9600082835 ) Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha On the top of Resume Location : Chennai , Ekkattuthangal Warm...

As a Prior Authorization Executive in the Voice Process, your role will involve verifying insurance eligibility and benefit levels to ensure adequate coverage for identified services prior to receipt. You will also be responsible for patient's cost estimation calculation. Your key responsibilities will include: - Reviewing and processing pre-authorization requests for medical services, procedures, and treatments according to established guidelines and procedures. - Obtaining prior authorization approval from insurance firms and nurse managers. - Appealing to insurance companies after prior authorization refusals. - Documenting account activity using correct medical and billing codes. - Inter...

Role Objective: The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis...

Maintain continuous interaction with clients, manage expectations and ensure outstanding client service Team with tax professionals to provide comprehensive tax solutions Representing the firm for assessments and tribunal appeals at the CIT/ITAT level Experience in domestic and/or international tax and transfer pricing Experience in litigation, tax compliance and advisory Experience in corporate laws, SEBI/FEMA regulation etc Research complex tax theory and positions, and apply them to specific client needs Provide comprehensive knowledge and reviews of tax case laws and develop opinion papers Determine all information required to ensure/complete accurate tax compliance products within the b...

As a direct tax services professional at EY, you will handle engagements related to Direct Tax Laws, Appeals, Corporate Tax restructuring, Tax Advisory and consulting. Profile will also involve dealing with International Tax and treaties related matter and handling FEMA/RBI compliance. Good inter-personal skills, marketing skills and good acumen of client business is essential. The opportunity Due to continuing expansion we have new opportunities for ambitious individuals to join our Tax Team as Senior Manager in Direct Tax practice. Your key responsibilities Develop and Implement accounts strategy for DT offerings targeted at clients within identified industry segments and market segments D...

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers and AR Analyst with minimum 1 Year of experience into DME Process. Job Title: AR Caller and AR Analyst Experience: 1 Year to 5 Years Work Mode: WFO Location: Vepery Notice Period: Immediate Joiners Shift: Night Key Responsibilities: Desired Candidates should have strong exposure and experience working on the AR Calling, AR Analyst, Rejections, Denials & AR Follow Up process. Candidates should have strong experience working on DME specialty and he/she should know the DME Billing Guidelines and Rejections, Denials Management. Interested Candidate can share your Updated Resume/CV to this WhatsApp...

Responsibilities: * Manage GST compliance, returns & reconciliations * Ensure timely filing & payment of taxes * Provide GST advice & litigation support * Prepare annual & monthly returns accurately * Prepare reply to GST Notices and audits

* Review AR claims, understand the denial reason, call the payers if required resolve the issue. *Research and interpret from the available data in billing software, EOB, MR, authorization & understand the reasons for denial/underpayment/no response. Required Candidate profile * All kinds of Denials * Strong Technical Knowledge * RCM * Authorization * Timely Filed Limit * Phyician Billing/Hospital billing * Commercial/Federal Payers * AR CALLER Contact Info - 9384813917

Manage compliance& filing of returns for Direct &Indirect Tax Preparation &review of tax computations,reconciliations,workings Support in tax audits,assessments,litigation matters Required Candidate profile Stay updated on amendments in tax laws &evaluate their impact on the business Support in tax planning,advisory,cross-functional business queries Ensure timely compliance with statutory deadlines

Review denied claims and identify reasons for denial. Research and resolve basic denial issues in a timely manner. Initiate payer calls for routine denial inquiries and follow-ups. Collaborate with billing and coding teams to address root causes of denials. Maintain accurate records of denial trends and resolutions. Assist with appeals preparation for denied claims. Provide support to other team members as needed. Requirements: High school diploma or equivalent. Basic understanding of medical billing and coding principles. Strong communication and interpersonal skills. Ability to work effectively in a team environment. Attention to detail and accuracy in work.

Medical Billing (RCM) Team Lead Location: Thaltej, Ahmedabad Experience: 4 to 7 years in U.S. Healthcare RCM (with team handling experience) Employment Type: Full-time | Work From Office About the company: Account Prism, founded in 2013, is a women-owned business transformation firm with a team of seasoned professionals who have 15+ years of experience across various domains in the US. Our service line includes Accounting, Tax, RCM and technology services. About the Role We are hiring an experienced RCM Team Lead who can oversee end-to-end revenue cycle management processes, mentor a team, and drive performance to achieve billing and collection targets. The role requires expertise in AR, den...

Create headcount plan at week and month level to maintain available capacity to plan and share hiring plan in case of deficit with senior leadership. Create and run schedules analysis on excel and scheduling tool (preferably NICE-IEX) based week and day level volume pattern. Dive deep into data/processes to identify opportunities and solutions and present to leadership. Keep regular communication with stakeholders, senior leadership, tools teams and other stakeholders to manage critical parameters, employee experience and contingency plan. Publish WFM key analytical reports and other root cause analysis to drive efficiency in operations and keep all relevant stakeholders regularly informed. ...

Assisting partners & directors in representation of direct-tax appeals before CIT(A), DRP and ITAT; - Undertake preparation and review of appeals, written submissions, paper-books and memos in relation to appeal matters; - Stay updated on recent tax developments and case-laws relevant for the matters; Colloborate and co-ordinate with clients (BU teams), for strategising the litigation matters Qualification - A qualified chartered accountant Experience - Post qualification experience of atleast 7 years in direct-tax services including Transfer pricing and International taxation including litigation and representation before tax authorities.

Maintain continuous interaction with clients, manage expectations and ensure outstanding client service. Team with tax professionals to provide comprehensive tax solutions. Representing the firm for assessments and tribunal appeals at the CIT/ITAT level. Experience in domestic and/or international tax and transfer pricing. Experience in litigation, tax compliance and advisory. Experience in corporate laws, SEBI/FEMA regulation etc. Research complex tax theory and positions, and apply them to specific client needs. Provide comprehensive knowledge and reviews of tax case laws and develop opinion papers. Determine all information required to ensure/complete accurate tax compliance products with...

Job Title: Chartered Accountant (CA Firm) Location: KOTA Experience: 1 to 3 Years (Post-qualification) Job Responsibilities: Team Supervision: Guide junior staff, review their work on GST returns, reconciliations, and accounting. GST Compliance: Prepare and file GST returns for large clients; handle replies to notices, appeals, refunds, annual filings, and assist in departmental audits. Income Tax: Prepare and file income tax returns, conduct tax audits, and handle related compliance. Accounting & Audit: Ensure accurate books of accounts, reconciliations, and compliance checks. Client Coordination: Interact with clients for data collection, query resolution, and compliance updates. Miscellan...

Role & responsibilities: Perform Accounts Receivable (AR) activities within the medical billing field, with 1-3 years of experience, ensuring timely follow-up on unpaid claims. Collaborate effectively within a team environment focused on processing medical billing transactions, actively contributing to achieving team goals. Need to do AR follow-ups, aiming to resolve outstanding claims efficiently. Demonstrate proficiency in AR analysis, meticulously examining billing accounts to identify discrepancies, unpaid claims, and billing errors. Adhere to all business rules provided by clients, ensuring accurate processing of transactions while meeting stipulated turnaround times. Maintain AR billin...

Qualification - Cost & Management Accountant or Cost & Management Accountant Intermediate Position - Executive Finance Payroll - L&T Defence Job Description: Basic accounting knowledge & GST are a must. Inter unit accounting/reconciliations. Inventory reporting and analysis including monitoring of Job work transactions. Responsible for preparing and filing GST Returns GSTR1, GSTR3B, GSTR7, ITC-04 and GST Annual Returns periodically within due date including ITC reconciliation with GSTN portal. Responsible for tax accounting/reconciliation and reviewing GST related ledgers with balances as per GST Portal. Maintaining statutory records as per GST Law Handle tax matters relating to GST notices/...

Skills: Corporate Taxation The employee will be working on Income tax compliances including but not limited to TDS/TCS, Corporate tax, Transfer Pricing, Deere Tax reporting, Appeals and litigation Required skill : Working knowledge of TDS/TCS, Corporate tax compliances and accounting Tax auditing, Monthly closing activities, filing, Accounting, tax accounting, Desired Experience :At least four years of post qualification experience Education :Chartered Accountant

1. Direct Tax Compliance & Review Review and finalize Income Tax Returns for individuals, firms, LLPs, companies and trusts. Ensure timely filing of tax returns, Form 3CD (Tax Audit), Form 15CA/15CB, and related compliance. Review computations for advance tax, MAT, AMT, TDS, and self-assessment taxes. Supervise the work of juniors and article assistants. 2. Tax Audits & Assessments Handle tax audits, review audit reports, and ensure compliance with reporting requirements. Manage income tax assessments, reassessments, and reply to notices/summons issued under various sections. Liaise with clients and tax authorities for documentation and representation. 3. Advisory & Planning Support clients ...

Join our team as the expert you are now and create your future. Position summary : As a Process Analyst, you will be involved in the full lifecycle of RCM. Responsibilities include working in RCM functions like EOB review, Payment Posting, Correspondence review, Bad Debt, Appeals process, Denial management and Account receivables. Strong analytical skills and typing speed is a must. Daily productivity targets to be met. Excellent communication skills, attention to detail, and strong technical and problem solving skills are essential aspects of this role. JOB DETAILS: Good communication skills with neutral accent Good English Written and Listening skills Willing to work in US shift timings Ne...

Job Description Requisition Id: R-1165057 Role Title: Assistant Finance Manager - Tax Work Level: 1D Work Location: Mumbai - HO Qualifications: CA with 3-4 years experience to support in managing the critical direct tax compliances incl. Business Partnership for some of the key activities as follows: Tax reporting & Advance tax compliances: HUL being the listed entity in India & part of UL Group, tax reporting and advance tax compliance are critical and as entity, we have committed to timely and accurate reporting and payment to the exchequer. This role has the responsibility for preparation of timely and accurate advance tax computations and tax provisions. This requires close co-ordination...

Candidate should have experience in Eligibility and Benefits verification, Authorisation initiating, AR CALLING, Perks and benefits Both pickup and drop cab facilities, Insurance