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12.0 - 20.0 years
20 - 35 Lacs
Navi Mumbai, Mumbai (All Areas)
Work from Office
Position: Director Operations Department: Medical Billing Location: Andheri / Sakinaka / Airoli , Navi Mumbai Specialties: Operations and Performance management Migrations / Setup start-up projects Planning & Budgeting revenues and controls Client Relationship Management Process and people related change management Farming within existing engagements Key Responsibilities: Handling P & L Management, Service Delivery, Client Relationship and Internal Stakeholder Management Heading the offshore Service delivery of Medical Billing team. Implement programs to ensure attainment of business plan for growth and profit. Provide directions and structure for operating units Implement improved processes and management methods to generate higher ROI and workflow optimization Provide mentoring and guidance to subordinates and other employees Responsible for managing multiple accounts with a strength of 400+ employees Looking after end to end management of program covering multiple work streams with a total span Facilitating process re-engineering and improvements to enhance customer engagement Generating new prospects for the organization to showcase capabilities Ensuring attrition control & job enrichment at process levels Experience & Qualifications Graduate 12+ years of experience in US Healthcare industry. Must have handled Medical Billing , payment posting, and charge entry team Must have handled atleast 150+ FTEs. Should be currently at Senior Manager or above role in Operations.
Posted 2 weeks ago
1.0 - 6.0 years
1 - 6 Lacs
Kochi, Coimbatore
Work from Office
Role & responsibilities Experience in ERA and Manual posting, Payer correspondence, Patient payment, patient credits, insurance overpayments Throrough knowledge in US Healthcare and Revenue cycle management Preferred candidate profile Should have minimum 1 year and maximum 6 years of experience in Payment Posting Good command over English and communication skills Must be flexible in working environment Good knowledge in Excel and MS office Perks and benefits Based on experience and knowledge
Posted 2 weeks ago
1.0 - 5.0 years
3 - 4 Lacs
Bengaluru
Work from Office
About Client Hiring for one of the most prestigious multinational corporations Job Title : Charge Entry Qualification : Any Graduate and Undergraduate Relevant Experience : 1 to 3 Years Must Have Skills : 1. Experience in physician billing and multi-specialty charge entry. 2. Proficiency in E&M coding and familiarity with CPT/ICD-10/HCPCS codes. 3. Strong understanding of insurance verification and billing workflows. 4. Experience using billing and EMR software (Athena, Kareo, eClinicalWorks, NextGen, etc.). 5. Excellent attention to detail and data accuracy. 6. Strong communication skills (verbal and written) Good Have Skills : Knowledge and expertise in in physician billing and multi-specialty charge entry. Roles and Responsibilities : 1. Accurately enter physician charges into the billing system based on clinical documentation. 2. Apply correct E&M (Evaluation and Management) codes, CPT, ICD-10, and modifiers in compliance with payer rules. 3. Process charge entries across multiple specialties including internal medicine, cardiology, orthopedics, etc. 4. Validate provider documentation to ensure complete and compliant billing. 5. Verify insurance coverage and eligibility prior to billing. 6. Confirm plan details, policy status, coordination of benefits (COB), and pre-authorization requirements. 7. Document verified insurance information in the system accurately. 8. Review and enter accurate patient information including name, DOB, address, insurance ID, and guarantor details. 9. Maintain HIPAA compliance and ensure completeness of registration data to avoid front-end denials. 10. Follow payer-specific guidelines for E&M coding and charge processing. 11. Coordinate with coding teams or physicians for clarification on incomplete or ambiguous records. 12. Report any issues related to documentation or insurance to the team lead/supervisor promptly. Location : Bangalore CTC Range : 3 4.8 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : General Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in
Posted 2 weeks ago
5.0 - 8.0 years
18 - 20 Lacs
Hyderabad, Bengaluru
Work from Office
We are seeking a dynamic and results-driven Assistant Director Quality to lead quality assurance and business excellence initiatives across multi-location RCM operations. The ideal candidate will have proven expertise in driving quality frameworks, managing large QA teams, leading client-facing quality reviews, and building a culture of continuous improvement. Experience in AR- Hospital Billing, Physician Billing, Eligibility, Benefits Verification, Charge Entry, Billing, Payment Posting, Patient Calling, and Credit Balance is highly desirable. Role & responsibilities Preferred Qualifications: Six Sigma Certification (Black Belt) preferred. Exposure to workflow automation tools or RPA in healthcare – a plus. Experience working with enterprise clients and managing large transitions – highly desirable. Preferred candidate profile
Posted 2 weeks ago
1.0 - 3.0 years
0 - 0 Lacs
pune
On-site
*Payment Posting OPENINGS* Position: *Payment Posting* Location : *Pune* *EXP : 1-4 YRS* *SALARY* - 45K *PF is Mandatory* *Non-Voice Process* *Two way Cab* * Relieving Letter is mandatory* *ONLY IMMEDIATE JOINERS* *INTERVIEW MODE: *Virtual * Interested share your Resume here-Papitha-7092036199
Posted 2 weeks ago
3.0 - 5.0 years
3 - 7 Lacs
Gurugram
Work from Office
What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Shift timings: 5:30 pm IST 02:00 am IST. Minimum 18 months of experience at current role within JLL. Preferably, 3-5 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently On-site Gurugram, HR Scheduled Weekly Hours: 40
Posted 2 weeks ago
0.0 - 1.0 years
1 - 1 Lacs
Chennai
Work from Office
For Charge Entry process Candidates with any degree and a minimum of 70% marks in 2024 or 2025 are eligible. In and around Mylapore and not more than 10KM 1.75 lakh salary, Take home of 12K. Required Candidate profile Freshers can apply Day Shift Pl call 8939678664 / 6385125441
Posted 2 weeks ago
1.0 - 3.0 years
1 - 3 Lacs
Chennai, Mumbai (All Areas)
Work from Office
Role & responsibilities Work in teams that process medical billing transactions and strive to achieve team goals Process Payment Posting transactions with an accuracy rate of 99% or more Absorb all business rules provided by the customer and process transactions with a high standard of accuracy and within the stipulated turnaround time Actively participate in companys learning and compliance initiatives Apply your knowledge of medical billing to report performance on customer KPIs Be in the center of ethical behavior and never on the sidelines Desired Candidate Profile Should have 1-2 years of experience in medical billing, preferably in payment posting process & charge entry Ability to learn and adapt to new practice management system Good Process knowledge Excellent Typing Skills Good written & verbal communication Hindi Language is added advantage CONTACT : HR THENDRAL - 9080343507 HR PADMAJA - 7358440054
Posted 2 weeks ago
1.0 - 6.0 years
1 - 4 Lacs
Chennai
Work from Office
Dear Aspirants, We are hiring for the following details, Position : - AR Analyst Should Know denial action take part. They should know at least 5 denial codes with action. If they have experience in a denial management team, we can consider proceeding with them to assign an AR f/u team. Good knowledge of the claim form (HCFA) field used for billing. General medical billing. Modifier usage & CPT codes Claim Appeals submission & Payer Website access knowledge to check claim status. Monday to Friday Interview time ( 10 Am to 6 Pm ) ( Experienced candidates only can apply ) RCM US HealthCare Medical Billing Salary: Based on Performance & Experience Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only ( Direct Walkins Only ) Contact person - Rekha HR Interview time ( 10 Am to 6 Pm ) Bring 2 updated resumes ( Refer to HR Name Rekha ) Call / Whatsapp ( 9043004654) Refer HR Rekha Locaion : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Rekha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Rekha Call / Whatsapp ( 9043004654)
Posted 2 weeks ago
5.0 - 10.0 years
4 - 6 Lacs
Chennai
Work from Office
Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position : - Team Leader Salary: Based on Performance Overall exp min 7+ yrs Exp : Min 2 years Required in TL role End to end RCM process Knowledge ( AR Analyst ,Charge , Payment ) Male candidates only Joining: Immediate Joiner / Maximum 10 days Work from office only Direct Walkins Only Interview time (12pm to 6pm ) Mail Id : vibha@novigoservices.com Call / Whatsapp ( 9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha Novigo Integrated Services Pvt Ltd, Sai Sadhan, 1st Floor, TS # 125, North Phase, SIDCO Industrial Estate, Ekkattuthangal, Chennai 32
Posted 2 weeks ago
7.0 - 10.0 years
2 - 5 Lacs
Bengaluru
Work from Office
Description of the position/role: The Subject Matter Expert works closely with Group Lead / Team Lead in streamlining procedures applying technology and industry standards. Will be responsible for meeting the set SLAs with respect to Productivity, Quality & Attendance. Coordinate with Group Lead / Team Lead in mentoring the team. Reports to Team Lead / Assistant Manager. Requirements: Graduates / Diploma Holders Need to have a radial understanding of Charge Entry, Demo Entry and Charge Posting. 5 - 8 years of experience in US Medical Billing. Should have worked for minimum 2 years as a Sr. Executive. Confident and Eloquent in written and verbal communication. Should have Analytical Reasoning and be a Team Player. Sound knowledge and hands-on experience with MS Office tools. Essential Functions / Tasks: Production expectation: 100% Ensures to meet expected production & agreed as per SLA is met. Ensures that the assigned accounts are completed with quality standards. Ensures that the target is achieved & approach leads to assistance if there is any challenge. Identify and escalate issues to the Assistant Manager. Assist new users in day-to-day work and mentor them as per the process. Other Requirements/Skills Required: Understand the client requirements and specifications of the process. Meet the productivity targets of clients within the stipulated time (Daily/Weekly/Monthly). Ensure that the deliverables adhere to client expectations and meet quality standards. Prepare and maintain status reports for the team. Verify error logs placed in the path and maintain reports daily. Attending client training and meetings to calibrate amongst the team members. Complete the work allocated and report to the Group Lead / Assistant Manager.
Posted 2 weeks ago
1.0 - 4.0 years
1 - 3 Lacs
Noida
Work from Office
Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)
Posted 2 weeks ago
1.0 - 4.0 years
3 - 8 Lacs
Ahmedabad
Work from Office
====================================================================== Walk-in Details:- Job Mode:- Work from Office Interview Dates:- 16-Jul-25 (Wednesday) to 31-Jul-25 (Thursday) (Except Sundays) Interview Timings:- 03:00 PM to 08:30 PM Interview Location:- Confiance House Near Shree Punjabi Seva Samaj, Behind Navrangpura Bus Stop, Swastik Society, Navrangpura, Ahmedabad, Gujarat 380009 ====================================================================== Role & responsibilities Performing outbound calls to insurances regarding medical claims (in the US) to collect outstanding Accounts Receivables. Ensuring accurate and timely completion of transactions to meet or exceed client SLAs. Responding to customer requests by phone and/or in writing to ensure timely resolution of unpaid medical insurance claims. Resolving complex situations following pre-established guidelines. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team. Organizing and completing tasks according to assigned priorities. Preferred candidate profile Excellent English Communication required (Oral & Verbal) Graduation or above Should be Comfortable with US Shifts Goal oriented and stable Positive attitude towards work Perks and benefits 5 working days Overtime benefits. Health Insurance. Other employee benefits. If you are not able to attend the walk-in interview or have any doubt then you can connect on 7486008424 or work@confiancebizsol.com Open Positions AR Caller:- 15
Posted 2 weeks ago
0.0 - 1.0 years
1 - 1 Lacs
Chennai
Work from Office
For Charge Entry process Candidates with any degree and a minimum of 70% marks in 2024 or 2025 are eligible. In and around Mylapore and not more than 10KM 1.75 lakh salary, Take home of 12K. Required Candidate profile Freshers can apply Day Shift Pl call 8939678664 / 6385125441
Posted 2 weeks ago
3.0 - 6.0 years
3 - 7 Lacs
Gurugram
Work from Office
- Grade Specific Key Responsibilities :- All Technologies and Sub technologies within that specific Architecture Work with the relevant BU and Strategic Partners stakeholders to build and refresh the Learning Maps (LMs) Create/ Evaluate Quiz Working with the lab team to build the relevant LABs and Demos required to go into the partner enablement Learning Maps. Desired technical and interpersonal skills include, but are not limited to: 1.BE with hands on experience in Cisco technologies- NOC/Deployment/Troubleshoot/Design & Implement - Cisco Meraki, SDWAN, ACI, Nexus 2.CCNA and/or CCNP Routing & Switching certifications (preferred) 3.Strong communication skills 4.Very Good understanding on Cisco Architectures (EN/Sec/SP) and Solutions 5.Desire and ability to learn new technology and solutions.
Posted 2 weeks ago
1.0 - 4.0 years
1 - 3 Lacs
Chennai
Work from Office
Preferred candidate profile Average to Good communication Good knowledge about health care industry Should have experience in Charge entry and payment posting. Sound knowledge in MS office Immediate joiner. Typing speed min 25 words per minute Shift : Day Shift Address: Plot: 27, Siruseri IT Park, Project Office, A-40, First Cross Road, Siruseri, Tamil Nadu 603103
Posted 2 weeks ago
2.0 - 4.0 years
3 - 6 Lacs
Bengaluru
Work from Office
Review the claim allocated and check status by calling the payer or through IVRWeb Portal Ask a series of relevant questions depending on the issue with the claim and record the responses Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers Record the actions and post the notes on the clients revenue cycle platform Us e appropriate client specific call note standards for documentation Adhere to Companys information, HIPAA and security guidelines Be in the center of ethical behavior and never on the sidelines Job Profile: Should have worked as an AR Caller for at least 2 years to 4 years with medical billing service providers Good knowledge of Revenue Cycle and Denial Management concept Positive attitude to solve problems Ability to absorb clients business rules Strong communication skills with a neutral accent Graduate degree in any field Note- Immediate Joiners preferred. Schedule: Night shift Experience: AR Caller: 1 year (Preferred)
Posted 2 weeks ago
1.0 - 5.0 years
0 - 3 Lacs
Chennai
Work from Office
Dear Candidate, Greetings from Global Healthcare Billing Partners Pvt Ltd! We are pleased to inform you about Opening with the Global Healthcare for the profile of PAYMENT POSTING Experience : 0.6Year - 4 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : KAYAL HR Contact Details -8925808597 NOTE : (only Medical billing experience are eligible) Regards GLOBAL KAYAL HR 8925808597
Posted 2 weeks ago
1.0 - 6.0 years
4 - 6 Lacs
Bangalore/Bengaluru
Work from Office
ESSENTIAL DUTIES AND RESPONSIBILITIES Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes. Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial. Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees. Makes recommendations for changes in policies and procedures to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery. Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation. Educates and advises staff on proper code selection, documentation, procedures, and requirements. Performs other duties as assigned. MINIMUM JOB REQUIREMENTS Education, Training, and Experience Required: Bachelors Degree or 3 year Diploma or equivalent is required. Possession of a current Certified Professional Coder (CPC) issued by the American Academy of Professional Coders preferred. Two (2) years of medical coding experience is required, or the; Equivalent combination of experience, education, and training that would provide the required knowledge and abilities. Knowledge/Skills/Abilities: Knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage. Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations. Ability to read and interpret medical procedures and terminology. Ability to develop training materials, make group presentations, and to train staff Ability to exercise independent judgment; Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff. Ability to competently use Microsoft Office Suite, particularly Word, Excel and Outlook. Ability to maintain confidentiality. Perks and Benefits As per market standards
Posted 2 weeks ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
The Claims Specialist position in Pune requires a candidate with 1+ years of experience and an annual salary of 3.90 LPA. As a Claims Specialist, you will be responsible for accurate entry of patient demographic information, charge entry following the specified procedures, and applying medical billing concepts including knowledge of US Healthcare medical billing rules and insurance guidelines. To excel in this role, you should have a graduate degree with 1-3 years of experience in billing and a good understanding of US Healthcare medical billing rules, abbreviations, and state-specific insurance guidelines. It is essential to maintain high accuracy in charge entry, double-check all entries for completeness and correctness, and conduct thorough charge reviews to ensure revenue generation. Additionally, familiarity with HIPAA regulations and compliance requirements is crucial for this position. The job is full-time with day and morning shifts, and the work location is in person. If you meet these requirements and are looking to utilize your billing experience in a dynamic environment, this Claims Specialist position could be the perfect fit for you.,
Posted 3 weeks ago
1.0 - 4.0 years
2 - 5 Lacs
Pune
Work from Office
ROLE: PAYMENT POSTING EXPERIENCE: 1 - 4 Yrs LOCATION: PUNE INTERVIEW MODE: VIRTUAL SALARY MAX: 45K MAX TWO WAY CAB AND SHIFT ALLOWACES Required Candidate profile EXPERIENCE IN PAYMENT POSTING IS MANDATORY NO FRESHERS!!!! CONTACT (SUBHIKSHA) 9626256724
Posted 3 weeks ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
The ideal candidate for this role should have experience in US Healthcare, Charge Entry, and International Voice Process. As a PE/SPE for Voice/Data in the IT/Computers - Software industry, you will be responsible for handling outsourcing/offshoring tasks in the ITES/BPO/Customer Service sector. This is a full-time, permanent position where you will play a crucial role in the key functions related to US Healthcare, Charge Entry, and International Voice Process. Additionally, the job code for this position is GO/JC/20075/2024, and the recruiter handling this opportunity is Ramya.,
Posted 3 weeks ago
4.0 - 5.0 years
8 - 12 Lacs
Gurugram, Bengaluru
Work from Office
Organizing and Visiting Trials for B2B customers. Data collections for B2B requirements (Visiting All Satellite farms of R D and PD for Data collection). Collate all data for Positioning of B2B products for specific trait requirements. Data presentation and recommendations to B2B customers. Coordinate and engage with R D for product data, selections, Seeds availability, Forecast for PS as well as Commercial seed multiplication. Organizing large field demo plots for B2B customer for demand creation and increase the base of Product sale. Follow and support on technical front with B2B customers. TAT for product movement in B2B business Data backed sales of products for long-term business development and increase customer confidence. Experience : Experience: 4-5 years in PD trial handling and analysis. Qualification : Graduate/ Post-graduate in Agriculture Minimum of 3 to 5 years of proven trial.
Posted 3 weeks ago
0.0 - 3.0 years
2 - 6 Lacs
Gurugram
Work from Office
What this job involves: Responsibilities: Daily Cash Application. Handle mailbox for request and query management Perform daily transactions as per standard operating procedures Allocating work to the team and ensuring service delivery as agreed norms and SLAs Creation of Statement of Accounts and Refund Packets Update process documents and capture the exceptions while processing as and when required Provide support during internal/ external audits Provide new hire orientation and process training Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently Perform other duties assigned as and when required i.e. process improvement initiatives, system implementation and ad-hoc projects Sounds like you To apply, you need to have: Requirements: Ability Degree in Accounting or relevant professional accountancy qualification. Open to all shift timings. Minimum 18 months of experience at current role within JLL. Preferably, 0-3 years of working experience in AR in MNC. Good knowledge of Accounts Receivable is an added advantage. Ability to multi-task and work in a dynamic and fast paced environment Team player and yet able to work independently.
Posted 3 weeks ago
6.0 - 11.0 years
5 - 8 Lacs
Hyderabad
Work from Office
Seeking a Team Lead with 6+ yrs experience in US Healthcare (Physician Billing) for Charges & Payment Posting. Should manage team performance, ensure accuracy, handle denials, and meet SLAs. Good knowledge of billing systems & payer rules required.
Posted 3 weeks ago
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