299 Charge Entry Jobs - Page 12

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Skill required: Retirement Solutions - Claims Case Mgmt - Claims Processing Designation: Claims Management Associate Qualifications: Any Graduation Years of Experience: 1 to 3 years About Accenture Accenture is a global professional services company with leading capabilities in digital, cloud and security.Combining unmatched experience and specialized skills across more than 40 industries, we offer Strategy and Consulting, Technology and Operations services, and Accenture Song all powered by the worlds largest network of Advanced Technology and Intelligent Operations centers. Our 699,000 people deliver on the promise of technology and human ingenuity every day, serving clients in more than 120 countries. We embrace the power of change to create value and shared success for our clients, people, shareholders, partners and communities.Visit us at www.accenture.com What would you do? Tower:UK Life and Pensions-Claims Processing What are we looking for? Skillset:Graduate in any stream.Open to flexible shifts based on business requirements.Good verbal & written communication skillsGood typing skill and attention to detail.Good time management skills. Ability work independentlyMust have/ minimum requirementMinimum of 2 years experience in the UK Life, Pensions and Investment domain, specifically Claims processing with equivalent experience in U.S. retirement services will also be considered.Strong analytical and comprehension skills with the ability to interpret information accurately and draw meaningful insights.Proficient in Microsoft Office tools, including Excel, Word, and Outlook, for reporting, documentation, and daily operations. Roles and Responsibilities: Roles & Responsibilities:Assess claims to determine coverage eligibility and benefit entitlements in line with policy terms and regulatory guidelines.Conduct thorough research to validate policy details, support documentation, and calculate the correct benefit amount.Identify and confirm the appropriate payee or beneficiary before initiating claims payment.Ensure accurate eligibility verification and payment processing in compliance with organizational policies and regulatory requirements (including UK-specific and applicable local laws).Review the proof of employment, salary history and other information needed to calculate benefits for Pensions claims.Verify the information and eligibility for the benefits of Pensions claims.Complies with all regulatory requirements, procedures, and State/Local regulations.Researching on any queries/ requests sent by the Business Partners/Client Support Teams and replying the same with minimum response time.Taking active participation in process improvements and automation.Ensure Quality Control standards that have been set are adhered to.Excellent organizational skills with ability identify and prioritize high value transactions.Completing assigned responsibilities and projects within timelines apart from managing daily BAU. Qualification Any Graduation

Greetings from e-care India!! We are looking for GC/TL Medical Billing- (Day Shift) with min 4 to 10 years of Experience. Job Role 1: GC- Operations Job Essentials: Good oral & Written communication skills. Work Experience in Charge Entry / Payment Posting & AR Analysis (Denial management) is mandatory. Minimal Team handling experience is required. Immediate joiners are most welcome. Job Role 2: Team Leader - Operations Job Essentials: Good oral & Written communication skills. Work Experience in Charge Entry, Payment Posting & AR Analysis (Denial management) is mandatory. Team handling Experience is mandatory. Immediate joiners are most welcome. *Note: Candidates from AR Calling background are not suitable. Interested and suitable candidates can share the resume through WhatsApp @ 9345041089 along with current take home, Expected Take home and Notice period. Work Location: e-care India 2nd Floor BR Complex 27 Woods Road Chennai 2

We are Hiring AR Callers / AR Analyst / Charge entry - Salem (TN) Greetings from Bristol Healthcare Services Pvt Ltd Job Title 1: AR Caller & AR Analyst (MID Shift) Vacancy: 20+ Experience: 1 - 3 Years in AR Calling or AR Analysis Job Location: Salem, Tamil Nadu Shift: AR Caller Night shift, AR Analyst – MID shift Work Mode: WFO Skills : Excellent communication skills and strong knowledge of denial management. Immediate joiners preferred. Job Title 2: Charge Entry (Day Shift) Vacancy: 20+ Experience: 1 - 3 Years in Patient Demo & Charge entry Job Location: Salem, Tamil Nadu Shift: Day shift Work Mode: WFO Skills: Min 1+year experience in US Medical Billing Patient Demo & Charge entry process. Immediate joiners preferred. Walkin between : Monday to Friday (10AM to 10PM) Direct Walkin : 161/12, Itteri road, Meyyanur,Salem - 636004. Call @ HR : 7540096142 / 9150941119 eMail : hr.sa@bristolhcs.com

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Entry - Charge QC 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 Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Requirement gathering, workshop and demo sessions. Warehouse Organization Structure set up and integration with SAP ERP. Inbound Process with Storage Control, VAS, Deconsolidation, and various Put-away. Strategies. Outbound Process with Storage Control, VAS, Wave Management, Picking Strategies, Staging & Goods Issue. Internal processes- Opportunistic cross docking, Replenishment strategies, Physical inventory, Scrapping, Kitting, De-kitting, Exceptions handling in Inbound & Outbound. RF screen customization and enhancement. EWM Integration with various systems Good in communication, experience in handling customers directly

Job Title: RCM AR Caller (1-4 Years Experience) Job Location: Chennai, (Thoraipakkam) Job Type: Full-time Shift: Night Requirement : Immediate Joiners Job Description: We are looking for 3 AR Callers with analytical knowledge of 1 to 4 years of experience in US healthcare billing. The ideal candidates should be client-centric , goal-oriented, and committed to delivering high-quality work and resolutions. Key Responsibilities: Manage End-to-End medical billing, accounts receivable (AR), and claims processing Work towards both office goals and self-improvement objectives Ensure timely and accurate claim submissions, follow-ups, and appeals Address and resolve denials and rejections effectively Maintain compliance with HIPAA regulations and payer policies Required Skills & Qualifications: Experience: 1 to 4 years in US healthcare medical billing Knowledge of EHR/PMS systems : Tebra is an added advantage Strong analytical and problem-solving skills Excellent communication skills to handle client interactions and resolve queries Ability to work in a night shift with flexibility What We Offer: Competitive salary and performance-based incentives Career growth opportunities A collaborative and professional work environment If you are passionate about medical billing and revenue cycle management and are committed to delivering results, we would love to hear from you! Please go through Our website and know about us www.arcrcm.com Follow us on Linkedin: https://www.linkedin.com/company/arcdottrcm How to Apply? Apply below or Email Resume : Hrm@arcrcm.com Cab Facility: No Location: Thoraipakkam (Near ASV Chandilya Towers)

Overview As a Supervisor, Payment Posting, your role encompasses overseeing a team responsible for maintaining the accuracy and efficiency of cash posting and credit processes within a healthcare organization's revenue cycle management. Responsibilities Supervision and Leadership: Provide leadership, direction, and support to a team of quality assurance specialists responsible for cash posting and credit processes. Quality Assurance Management: Develop, implement, and maintain quality assurance processes and procedures to ensure the accurate and timely posting of payments and credits, including insurance payments, patient payments, refunds, adjustments, and denials. Training and Development: Train, mentor, and coach team members to ensure they possess the necessary skills and knowledge to perform their duties accurately and efficiently. Performance Monitoring and Evaluation: Monitor team performance metrics, conduct regular performance evaluations, and provide feedback to team members to drive continuous improvement and meet productivity targets. Issue Resolution and Escalation: Address and resolve any discrepancies, errors, or issues related to cash posting and credit processes promptly and effectively. Escalate complex issues to appropriate stakeholders for resolution as needed. Collaboration and Communication: Collaborate with other departments such as billing, coding, finance, and customer service to streamline processes, resolve issues, and improve overall revenue cycle management efficiency. Communicate effectively with team members, management, and stakeholders to ensure alignment with organizational goals and objectives. Compliance and Regulatory Adherence: Ensure compliance with relevant healthcare regulations, billing guidelines, payer policies, and industry standards governing cash posting, credits, and revenue cycle management activities. Documentation and Reporting: Maintain accurate records, documentation, and audit trails of cash posting and credit activities. Generate reports, analyze data, and identify trends to support decision-making and process improvement initiatives. Qualifications Bachelor's degree in any related field. A minimum of 6 years of experience in healthcare revenue cycle management, with a focus on specifically in cash posting, credits, or related areas, is typically required. Supervisory or leadership experience is preferred.

Generate and analyze AR reports to identify trends and areas for improvement. Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Excellent skills in analyze and resolve denied claims, identify reasons for denials, and implement strategies to minimize future denials. Review Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Perform pre-call analysis and check status by calling the payer or using IVR Actively contact insurance companies to inquire about the status of pending claims and resolve any issues. Good knowledge about insurance policies, billing codes, and denial reasons to effectively resolve issues and secure payment Have strong knowledge in EOB and ERA. Exposure in multiple specialties and billing software. Walk-In Between : Monday to Friday : 03.00 PM to 09.00 PM Location: A7, Industrial Estate, Mogappair West, Chennai, Tamil Nadu 600037. Call HR @ 9176359249 / 9150941118 to confirm your interview time or to know more about us.

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst (Non voice process) Day Shift - Charge Entry - Charge QC - Payment Posting 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 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen Begum H Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR Nausheen nausheen@novigoservices.com Call / Whatsapp ( 9043004655)

Reports to (level of category) : Senior Operations Manager Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Day-to-day operations People Management (Work Allocation, On job support, Feedback & Team building) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) Reports (Internal and Client performance reports) Work allocation strategy CMS 1500 & UB04 AR experience is mandatory. Span of control - 80 to 100 Thorough knowledge of all AR scenarios and Denials Expertise in both Federal and Commercial payor mix Excellent interpersonal skills Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

Designation : Operations Manager Location: Sec-21 GGN Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

Hiring for Charge Entry Executive and Senior Charge Entry Executive roles - 1. Shift Timings: Preferably US night shift (Indian day shift), might change depending on the client’s requirement. 2. Qualifications and skillsets needed: a) Preferred Bachelor’s degree. b) For Charge Entry executive role - 1-2 years of experience, and for Senior Charge Entry Executive role - At least 3+ years of prior experience in charge entry, medical billing, or revenue cycle management. c) Basic knowledge of CPT, ICD-10 coding, and healthcare billing practices. d) Acquaintance with payer-specific guidelines, insurance verification, and remittance advice (RA). e) Proficiency in practice management software or electronic health record (EHR) systems. f) Detail-oriented with strong organizational and time management skills. g) Good problem-solving skills and the ability to manage and prioritize tasks effectively. h) Strong communication skills and the ability to collaborate with clinical, coding, and billing teams. i) Understanding of HIPAA regulations and strict adherence to confidentiality of patient information. 3. Roles and Responsibilities: a) Enter patient charges, diagnoses, and procedural codes (CPT/ICD-10) into the billing system for healthcare service providers. b) Verify the accuracy of charge entry by ensuring proper documentation such as physician orders, medical records, and patient information provided. c) Review and validate insurance information, ensuring correct payer details for accurate billing. d) Ensure proper coding for services provided, making sure that all charges reflect the services, tests, and procedures performed by the healthcare provider. e) Monitor the charge entry process to ensure all charges are entered within a designated timeframe and before billing cycles close. f) Work closely with clinical staff to resolve discrepancies in charge information. g) Collaborate with coders and billing teams to ensure accurate coding and compliance with payer requirements. h) Ensure all services are billed according to regulatory and payer requirements, avoiding delays in reimbursement. i) Maintain accurate and organized records of all charge entry data. j) Assist with investigating and resolving discrepancies in charge entry or payment. k) Review daily charge entry logs to identify any missing or incomplete charges. l) Follow up on rejected or denied charges with the appropriate departments to ensure proper resubmission. 4. Career Growth: Senior Charge Entry Executive>>Quality Analyst>>Associate Team Manager>>Team Manager>> Sr. Team Manager>>Unit Head as and when we open more branches or as and when other designations evolve. 5. Additional Perks: a) Medical insurance coverage is for self, spouse, and a maximum of 2 children under 25 years of age. This component cannot be reimbursed. b) Accident insurance worth 5 x annual CTC of the employee. Medical Billing FAQs: Please click on this link to access medical billing FAQs. https://www.scribeemr.in/faqsfor-medical-billing-professionals/ How to apply: Apply through “careers” page of our website https://www.scribeemr.in/ NOTES: Please visit the following website to know more about us https://www.scribeemr.in/ If you still have any questions, please write to medical.billing@scribeemr.com

Overview As a US Healthcare Provider Enrollment Quality Assurance Specialist, you will be responsible for ensuring the accuracy, completeness, and compliance of provider enrollment processes within a healthcare organization. You will play a critical role in maintaining high standards of quality and efficiency in provider enrollment activities to support the organization's revenue cycle management. Responsibilities Quality Assurance Oversight: Conduct thorough reviews and audits of provider enrollment applications, documents, and data to ensure accuracy, completeness, and compliance with regulatory requirements, payer policies, and organizational standards. Documentation Verification: Validate and authenticate provider credentials, licenses, certifications, and other required documents submitted during the enrollment process to ensure authenticity and compliance with regulatory and payer requirements. Application Processing: Facilitate the timely and accurate processing of provider enrollment applications, including data entry, verification, and submission to relevant regulatory bodies and insurance payers. Communication and Collaboration: Collaborate with internal stakeholders such as credentialing teams, provider relations, billing departments, and external parties including providers, insurance companies, and regulatory agencies to resolve enrollment-related issues, discrepancies, and inquiries. Policy Adherence: Stay updated on changes to healthcare regulations, payer enrollment guidelines, and industry best practices to ensure compliance and adherence to applicable standards in provider enrollment processes. Quality Improvement Initiatives: Identify opportunities for process improvement, efficiency enhancement, and quality enhancement in provider enrollment workflows. Propose and implement strategies to streamline processes, reduce errors, and optimize productivity. Training and Education: Provide training, guidance, and support to internal staff involved in provider enrollment activities to ensure understanding of policies, procedures, and compliance requirements. Reporting and Documentation: Maintain accurate records, documentation, and audit trails of provider enrollment activities. Generate reports, analyze data, and track key performance indicators to monitor compliance, identify trends, and support decision-making. Qualifications Bachelor's degree in any related field. Minimum of 2-3 years of experience in healthcare provider enrollment, credentialing, or related areas. Experience in quality assurance, auditing, or compliance roles is highly desirable.

Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. a) Day-to-day operations b) People Management (Work Allocation, On job support, Feedback & Team building) c) Performance Management (Productivity, Quality, One-On-One sessions, KRA, PIP) d) Reports (Internal and Client performance reports) e) Work allocation strategy f) CMS 1500 & UB04 AR experience is mandatory. g) Span of control - 80 to 100 h) Thorough knowledge of all AR scenarios and Denials i) Expertise in both Federal and Commercial payor mix j) Excellent interpersonal skills h) Should be capable to interact with US clients and manage escalations Qualifications Graduate in any discipline from a recognized educational institute Good analytical skills and proficiency with MS Word, Excel and PowerPoint Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials. Ability to interact positively with team members, peer group and seniors. Demonstrated ability to exceed performance targets. Ability to effectively prioritize individual and team responsibilities. Communicates well in front of groups, both large and small.

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Role Objective: To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers. Essential Duties and Responsibilities: Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT. 24*7 Environment, Open for night shifts Good analytical skills and proficiency with MS Word, Excel, and PowerPointQualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal)Skill Set: Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Ability to interact positively with team members, peer group and seniors.

Job Purpose The Insurance Verification Representative is responsible for obtaining and providing accurate and complete data input for insurance verifications in clients host systems Duties and Responsibilities Utilize payer web portals to obtain patients current insurance information and update the information in the client system Verify insurance information against patient’s insurance cards scanned in client system and ensure the correct and most up to date information is on the patient’s account Once updates are entered in client system, follow procedure on filing the claims Comment all actions taken in internal and client host system Work independently from assigned work queues Meets and maintains daily productivity/quality standards established in departmental policies Adheres to the policies and procedures established for the client/team Communicate effectively with leadership Maintain a professional attitude Other duties as assigned by the management team Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards Qualifications High school diploma or equivalent required Insurance Verification knowledge helpful Experience with practice management software: GE Centricity, EPIC PB, Cerner, Allscripts preferred Knowledge of individual payor websites, including eviCore, Navinet and Novitasphere Ability to work well individually and in a team environment Strong organizational and task prioritization skills Proficiency with MS Office. Must have basic Excel skillset Strong communication skills/oral and written Strong organizational skills Working Conditions Work Set-up: Onsite Work Schedule: 5:30PM to 2:30AM Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal. Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

What You'll Do Oversees the development and implementation of detailed technology solutions for clients using company products, outsourced solutions, or proprietary tools/techniques. Responsible for defining the client needs, developing a proposal to meet those needs, as well as overseeing the implementation of the complete project solution. Selects, develops, and evaluates personnel to ensure the efficient operation of the function. This position requires the ability to learn quickly to start working independently in a fast-paced, dynamic environment where attention to detail, analytical skills and strong communication skills are essential. As a member of the Avalara Implementation team your goal is to provide world-class service to our customers. He/she will be expected to live by our cult of the customer philosophy and will be held accountable for increasing the overall satisfaction of our customer base. Assisting in the creation and implementation of customer centric processes and workflow, performing to prescribed metrics goals and contributing to an environment of accountability, growth, and positive employee morale. As part of the Implementation Team, you'd focus on New Product Introductions, with enhanced focus on customer onboarding. The role is highly collaborative, and you will be expected to create clarity in a complex organizational environment, generate energy through a bias towards action, and deliver results. What Your Responsibilities Will Be Lead planning and delivery of multiple client implementations simultaneously. Ensure that customer requirements are fully defined and met within the configuration and the final deliverable. Coordinate between internal implementation and technical resources and client teams to ensure smooth delivery. Resolve, record and appropriately escalate risks and issues. Monitor and report project metrics and provide clear updates and status. Develop and document business requirements related to business processes, data transformation and reporting. Assist clients with developing and executing testing plans and procedures. Train clients on all Avalara products and services including the ERP and e-commerce integrations (called AvaTax connectors). Demo sales and use tax products, including pre-written and custom-built software applications. Take ownership of technical issues from initial report to final resolution Assist internal groups with technical issues and inquiries. Be open to accept additional responsibilities assigned to meet the deadlines. Support customers' success by answering application questions, tracking issues, monitoring changes, and resolving or escalating problems according to company guidelines. Provide training and end-user support during customer onboarding. Perform other tasks as assigned. Create documentation of new resources. Able to train and upskill new members to get them up to the speed. What You'll Need to be Successful Bachelor's degree (BCA, MCA, B.Tech) from an accredited college or university, or equivalent career experience. Experience in implementing ERP solutions. Understanding of the tax, tax processes, data and systems concepts and an ability to troubleshoot complex issues related to them. Experience in techno functional role and the capability of translating business requirements to technical configurations. Demonstrated ability to thrive in a fast-paced customer service environment, managing a large portfolio of active customers through their implementation or support process; organization and the ability to balance multiple clients and varying needs is critical to this role's success. 2-5 years of software implementation, preferably within the B2B sector. Proficient with Microsoft Office Suite, specifically Excel and PowerPoint Efficient work habits that allow for a significant level of multi-tasking and ability to effectively prioritize to deliver impact and results. Results-oriented with strong people and time management skills, highly organized, motivated, and driven to succeed. Flexibility and a willingness to immerse themselves in the detail of projects to quickly solve problems. Excellent written and oral communication skills are required with a demonstrated ability to work with cross-functional teams. Excellent analytical, organizational skills and team player Goal-driven and self-motivated towards continual improvement in knowledge, efficiency, productivity, and customer service; Consultants are measured on a combination of the number of projects successfully completed per month and the quality of the implementation. Personify the Avalara Success Traits: Ownership, Simplicity, Curiosity, Adaptability, Urgency, Optimism, Humility

Job Title: Senior Clinical Documentation Improvement (CDI) Specialist Department: Revenue Cycle Management/Charge Integrity, Capture Reports To: Billing Manager/Director Location: Chennai/Hyderabad Summary: The Senior Claims Processing Specialist is responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices. This role also acts as liaison for clinical areas and revenue cycle (physicians, nurses, and other clinical staff) on proper documentation, coding, and billing procedures. The Senior Specialist plays a critical role in maximizing revenue integrity, minimizing denials, and ensuring compliance with payer regulations. Key Responsibilities: Charge Creation and Capture Oversight : Oversee the process of charge creation, ensuring accurate and timely capture of all billable services. Review encounter documentation (e.g., progress notes, orders, procedures) to verify that charges are supported and appropriately coded. Identify and correct any errors or omissions in charge capture. Monitor charge lag and implement strategies to reduce delays in billing. Ensure that all charges are compliant with coding guidelines (CPT, HCPCS, ICD-10) and payer regulations. Charge Master Maintenance : Participate in the maintenance and updating of the charge master (CDM), if applicable. Ensure that the CDM is accurate and reflects current coding guidelines and payer requirements. Collaborate with other departments (e.g., finance, IT) to implement CDM changes. Liaison Activities : Liaise with clinical teams (physicians, nurses, etc.) to understand clinical workflows and documentation practices, ensuring accurate charge capture. Collaborate with revenue cycle teams (billing, coding, AR) to resolve claim issues and improve overall revenue cycle performance Audits : Conduct regular audits of documentation and billing practices to identify areas for improvement. Develop and implement corrective action plans to address identified deficiencies. Ensure compliance with all applicable coding and billing regulations. Denial Management : Analyze claim denials related to coding or documentation issues. Identify root causes of denials and implement strategies to prevent recurrence. Work with billing and coding staff to appeal denied claims. Reporting and Analysis : Prepare reports on charge capture rates and accuracy. Analyze data to identify trends and patterns in coding and billing practices. Recommend process improvements based on data analysis. Team Leadership and Mentorship : Serve as a mentor and resource for junior claims processing staff. Provide guidance and support to the team on complex coding and billing issues. Assist in training new team members on charge capture procedures. Qualifications, Experience & Skills : Any Bachelors degree or a related field preferred Minimum of 3-5 years of experience in medical coding, billing, or charge capture. Knowledge of medical coding and billing regulations. Excellent communication and interpersonal skills. Strong analytical and problem-solving abilities. Ability to work independently and as part of a team. Excellent organizational and time-management skills. Proficiency in using billing software and Microsoft Office Suite. Preferred : Experience with EPIC preferred but not mandatory. Both Hospital and Professional billing experience preferred Flexible to work from Office all 5 days in the week

Billing Executive - Charge Entry Verify and understand patient's insurance coverage. Demographic entry of the patient's information. Use coded data to produce and submit claims to insurance companies. Knowledge about ICD 10 and CPT codes Knowledge about Insurances, Denials, Rejections Meet individual and departmental standards with regard to quality and productivity. Desire for knowledge/attitude to learn Good communication skills Good reasoning and Analytical skills Process Associate - Payment posting Posting payments and adjustments from ERAs and EOBs Applying refunds on identified overpayments Report overpayments, underpayments, and other irregularities. Understand Denials and apply them in the application as per client SOP. Concepts like Credit balance, Patient statements, balance billing. Meet individual and departmental standards with regard to quality and productivity. Awareness on eCW, NextGen, AdvMD applications will be added advantage Desire for knowledge/attitude to learn Good communication skills Good reasoning and Analytical skills

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting 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 ( 10 am to 6 pm ) Everyday Contact person VIBHA HR( 9043585877) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 125, North Phase, SIDCOIndustrial Estate,Ekkattuthangal, Chennai 32 Contact details:- HR VIBHA vibha@novigoservices.com Call / Whatsapp ( 9043585877)