2.0 - 6.0 years

0 Lacs

chandigarh

On-site

As a Billing Auditor at Paras Health, your role will involve reviewing and auditing medical bills to ensure accuracy and compliance with regulations. Your responsibilities will include: - Demonstrating a strong knowledge of medical billing - Auditing IPD patient bills to identify errors - Highlighting deviations to the concerned departments, including Nursing and Billing - Charging missed items in bills - Conducting daily audits of bills and maintaining an error report - Bringing attention to process failures to the management - Performing audits for ECHS/ CGHS/ Cash /TPA bills - Collaborating with other clinical and non-clinical departments for smoother functioning To excel in this role, yo...

Posted 5 days ago

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AR Calling - Quality Analyst Elico Healthcare Services Ltd

2.0 - 6.0 years

0 Lacs

hyderabad, telangana

On-site

As an AR Calling - Quality Analyst at Elico Healthcare Services Ltd., your role involves monitoring AR calling activities to ensure adherence to quality standards and identifying areas for improvement. Your daily tasks will include conducting quality audits, preparing audit reports, providing feedback to AR callers, and coordinating with them to enhance performance. Additionally, you will be responsible for trend analysis, training, and ensuring compliance with relevant guidelines and regulations. Key Responsibilities: - Identify performance gaps and provide constructive feedback to AR agents. - Track quality metrics such as accuracy rate, productivity, and FTR (First Time Right). - Conduct ...

Posted 1 month ago

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Dental Advisor The Cigna Group

3.0 - 7.0 years

0 Lacs

karnataka

On-site

As a Medical Claims Review Senior Analyst/Clinical Supervisor in the Complex Claim Unit, you will provide clinical review expertise for high dollar and complex claims, including facility and professional bills. Your role includes identifying coding and billing errors, ensuring the application of Medical and Reimbursement Policies for cost containment, and identifying cases for potential fraud and abuse. Your major responsibilities will involve evaluating medical information against criteria, benefit plans, and coverage policies to determine the necessity for procedures. In cases where criteria are not met, you will refer to the Medical Director. You will also evaluate itemized bills against ...

Posted 1 month ago

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Billing auditor Paras Health

2.0 - 6.0 years

0 Lacs

chandigarh

On-site

Job Description: As a Billing Auditor at Paras Health in Panchkula, Haryana, you will play a critical role in ensuring the accuracy and compliance of medical bills. Your primary responsibilities will include reviewing and auditing IPD patient bills, identifying errors, and working closely with the billing department to rectify any discrepancies. It will be your responsibility to charge missed items in bills, maintain error reports, and highlight any deviations to the concerned departments, including Nursing and Billing. To excel in this role, you must possess a strong knowledge of medical billing practices and have previous experience in auditing patient bills. You will be required to audit ...

Posted 2 months ago

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