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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 CHARGE ENTRY &PAYMENT POSTING Experience : 0.6Year - 3 Years Qualification : Any Graduate Essential Requirement :- Associate should have worked Experience in Charge Entry & Payment Posting with good knowledge of medical billing process. Location: Velachery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 NOTE : (only Medical billing experience are eligible) Regards GLOBAL MALINI HR 90032 39650
Posted 1 week ago
1.0 - 3.0 years
1 - 4 Lacs
chennai
Work from Office
Job description At Clarus, we inspire you to explore your passions, nurture and cultivate your talent. We equip you to work with your clients and help them achieve outstanding results through superior quality of service. Innovate with Clarus, work on some of the most exciting projects in the industry and learn & grow with us. If you have experience in supporting medical billing processes for US based clients, read on and apply. Location: Chennai, India Responsibilities • Accurate posting of Patient demographic, Charge Entry or Insurance Verification transactions in the clients revenue cycle system • Adhere to customer SLAs for accuracy, production target, and turnaround time • Comply with information security policies • Ability to understand the impact on customers upstream and downstream processes • Support quality and training initiatives with a view to continuously improve services delivered • Always Demonstrate ethical behavior Desired Skills/Traits • Graduate with 1-4 years of experience in Patient Demographics Entry, Insurance Verificationor Charge Entry • Strong knowledge of medical billing concepts • Good communication and analytical skills Benefits Attractive Salary package Day Shift Saturday & Sunday fixed off Note Preference will be provided to candidates who can join immediately and/or candidates who have minimal notice period. Perks and Benefits: Saturday and Sunday Fixed Week Offs. 2 Way free Cab Facility (within 25 Km Radius) Night shift allowance 2,200 Per Month Note - Salary - (3LPA 4.5LPA) Contact HR:Manikandan Ravi 9551070726 / 7010541952 Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "
Posted 1 week ago
6.0 - 8.0 years
3 - 5 Lacs
chennai
Work from Office
Greetings from Global Healthcare Billing Partners Pvt. Ltd.!!! Hiring for TEAM LEADER (Charge Entry) @ Velachery JOB DETAILS : Experience : 6+ Years of experience in Charge Entry Work Mode : Office Shift : Day Salary : Best in Market Location : Velachery RESPONSIBILITIES : Should be able to drive the team towards meeting the required quality & efficiency. Be an expert in work allocation and client communication. COMPETENCIES / SKILL SET : 6+Years of experience in Charge Entry denial management for US healthcare provider. Team Management Client Management Willingness to learn Excellent communication and Presentation skills Good Knowledge of MS Office Word, Excel, and PowerPoint QUALIFICATIONS & WORK EXPERIENCE : Any Graduate or Post Graduate with minimum 6 year experience in Payment Posting. Good Knowledge of MS Office Word, Excel, and PowerPoint Interested candidate contact to MALINI HR - 9003239650 / 8925808598 Regards Global HR Team MALINI HR 90032 39650
Posted 1 week ago
8.0 - 13.0 years
3 - 7 Lacs
hyderabad
Work from Office
Identify, analyze, and manage all issues about accounts receivable and member service inquiries. Coordinate, assign, audit, and supervise work with all India BSO teams to ensure productivity standards and goals are consistently met. Review and analyze past-due receivables with BSO global team every week. Monitor cash inflow and identify the roadblock which hindering the cash and highlight the same to the leadership team Active participation in weekly AR calls; denial review call with onshore team Oversee monthly A/R reporting, weekly ATB, monthly performance deck, Supervise staff including performance management, training and development, workflow planning, hiring, and disciplinary actions. Implement and maintain department compliance with new and existing policies and procedures. Ensure timely completion of month-end duties and perform other duties as assigned. Continually evaluate AR operations and make suggestions for improvement. Knowledgeable in revenue cycle management Reliable and punctual in reporting for work and taking designated breaks. Required Skillset 8+ years of background in AR and denial management aspects of revenue cycle management. Preference will be given if have hospital AR experience. 2+ years of People Management experience leading or supervising billers. Must possess strong working knowledge of CPT, ICD10, Denials, Appeals, & Correspondence, AR and Denial Management . Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and professional communication. Be organized, ahead of schedule, communicative, and accountable. In short, own your role entirely, while being open to critiques, suggestions, and new ideas. Strong attention to detail and keep a constant eye out for opportunities to improve efficiency. Be passionate about customer service. You love helping people, and you constantly strive to deliver great solutions. Have experience with hospital billing and Meditech software will be given preference. Ability to adapt to changing priorities and handle multiple tasks simultaneously.
Posted 1 week ago
4.0 - 8.0 years
4 - 8 Lacs
bengaluru, karnataka, india
On-site
Job Summary: Omega Healthcare is looking for a dynamic and experienced Team Lead Charge Entry to manage and oversee the charge entry operations within our Physician Billing team. The ideal candidate will be responsible for ensuring accurate data entry of charges, leading a team of charge entry specialists, and collaborating with cross-functional teams to maintain a high level of quality and productivity. Key Responsibilities: Supervise and lead a team of charge entry professionals in the RCM domain. Ensure timely and accurate entry of medical charges into billing systems based on clinical documentation. Monitor daily workload distribution and performance metrics to meet productivity and quality targets. Provide training, guidance, and support to team members for continuous improvement. Collaborate with internal QA and audit teams to maintain compliance and accuracy in charge entry. Identify process gaps and implement improvement initiatives. Generate reports and provide regular updates to senior management. Address escalations and ensure resolutions are communicated effectively. Maintain thorough documentation and ensure adherence to HIPAA and data privacy policies. Required Skills and Qualifications: Bachelors degree in any discipline (preferably in Healthcare or Life Sciences). 4 to 8 years of total experience in healthcare RCM, with a minimum of 2 years in a Team Lead role forCharge Entry. Strong understanding of physician billing, medical coding, and charge entry processes. Excellent leadership, communication, and interpersonal skills. Proficient in MS Office tools and medical billing software. Ability to work in a fast-paced environment and handle multiple priorities. Eye for detail with strong analytical and problem-solving skills.
Posted 1 week ago
1.0 - 6.0 years
1 - 6 Lacs
bengaluru, karnataka, india
On-site
Job Summary: We are seeking a meticulous and detail-oriented Charge Entry Specialist to join our medical billing team. The successful candidate will be responsible for accurately entering and processing patient charges, ensuring that billing information is correct and up-to-date. This role is crucial in maintaining the financial health of the organization by facilitating timely and accurate billing processes. Should have min 1 Years of experience into charge entry, RCM Key Responsibilities: Enter charge data into billing systems with accuracy and efficiency. Review and verify charge information for completeness and accuracy. Resolve discrepancies and issues related to charge entries. Collaborate with other departments to ensure proper billing practices and resolve any billing issues. Maintain up-to-date knowledge of billing codes and procedures. Generate and review reports related to charge entry and billing. Ensure compliance with relevant regulations and company policies.
Posted 1 week ago
1.0 - 3.0 years
1 - 3 Lacs
chennai, tamil nadu, india
On-site
Responsibility Areas: Processing of Medical Data Entering charges and posting payments in the software Ensure that the deliverables to the client adhere to the quality standards. To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of Payment Posting or Demo & Charge or Correspondence or Charge Entry Understand the client requirements and specifications of the project Ensure targets are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Applying the instructions/updates received from the client when doing the production. Update their production count in SRP and Online score card. Prepare and Maintain reports
Posted 1 week ago
1.0 - 6.0 years
1 - 6 Lacs
bengaluru, karnataka, india
On-site
Job Summary: We are seeking a meticulous and detail-oriented Charge Entry Specialist to join our medical billing team. The successful candidate will be responsible for accurately entering and processing patient charges, ensuring that billing information is correct and up-to-date. This role is crucial in maintaining the financial health of the organization by facilitating timely and accurate billing processes. Should have min 1 Years of experience into charge entry, RCM, CPT, & Modifiers.
Posted 1 week ago
1.0 - 6.0 years
1 - 6 Lacs
bengaluru, karnataka, india
On-site
Greetings fromOmega Healthcare Pvt. Ltd.! We are currently hiring for Charge Entry & Payment Posting with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience:1Years to 5 Years Specialties :Charge Entry/Payment Posting Salary:Best in Industry Work Mode: WFO Notice Period:Immediate Joiners Shift:Day Key Responsibilities: Enter charge data into billing systems with accuracy and efficiency. Review and verify charge information for completeness and accuracy. Resolve discrepancies and issues related to charge entries. Collaborate with other departments to ensure proper billing practices and resolve any billing issues. Maintain up-to-date knowledge of billing codes and procedures. Generate and review reports related to charge entry and billing. Ensure compliance with relevant regulations and company policies.
Posted 1 week ago
2.0 - 7.0 years
2 - 7 Lacs
hyderabad
Work from Office
::Role & responsibilities Accept payments and process billing statements Post payments (electronic and manual payments) to the billing software program or practice management software. Prepare payment batches. Maintain accurate medical billing records, and document revenue from patient payments and insurance reimbursements. Keep track of payment deposits from patients and insurance reconciling details. Assess and evaluate explanation of benefits (EOBs) from insurance companies. Keep accurate billing records and report discrepancies. Preferred candidate profile Minimum of 2 years of medical billing experience. Knowledge of EOBs. Data entry and typing skills. Good written communication skills. Ability to process a high volume of work while keeping attention to detail and accuracy. Good computer skills to work with billing software, practice management system, and Microsoft Office. Perks and benefits Insurance Two-way cab Incentives Overtime Allowance Retention Bonus up to 100,000/- (One Lakh) Other Details Night Shift CTC - Good at Industry Mode of InterviewVirtual Interview and Face-to-Face Round of Interview. Office Location: Madhapur, Hyderabad Contact @ 91548 40954 Email CV to jobs@onqindia.com
Posted 1 week ago
2.0 - 3.0 years
1 - 4 Lacs
mumbai
Work from Office
Job Description:- Assist the sales team with day-to-day coordination and administrative support. Prepare and process quotations, proposals, and sales orders. Coordinate with internal departments (e.g., logistics, finance, production) to ensure timely delivery and invoicing. Maintain and update customer databases, sales records, and reports. Follow up with clients for order status, payments, and documentation. Handle client inquiries and provide basic product/service information. Schedule and coordinate meetings, calls, or demos for the sales team. Prepare regular sales performance reports for management. Maintain stock or sample inventory used for sales purposes.
Posted 1 week ago
2.0 - 3.0 years
1 - 3 Lacs
hyderabad
Work from Office
Greetings from Newport Medical Solutions! We are hiring candidate with Charge Entry Experience with immediate Joiner. Relevant experience candidates can share their resume on talentacquisition@newportmed.com or contact HR-8341128389 Job Title: Senior Associate - Charge Entry Years of Experience: 2-3 years Shift Timings: day shift (9:00 AM to 6:00 PM) Location: Hyderabad, Telangana Qualifications: - Minimum of 2 years of experience in charge entry - Strong understanding of medical billing processes - Proficiency in using billing software and Microsoft Office suite - Excellent attention to detail and accuracy - Strong communication and interpersonal skills - Ability to work independently and as part of a team Expected Qualities: Integrity Attention to detail. Creative- Out of the Box thinking Challenger of the status quo Organized Passionate Job Requirement: Input and verify charges accurately in the billing system - Review documentation to ensure charges are entered correctly - Assist with reconciling discrepancies in charge entries - Maintain knowledge of current billing regulations and compliance standards - Handle any charge entry related inquiries from internal and external stakeholders - Participate in training and development activities for charge entry staff - Collaborate with other departments to ensure accurate and timely charge entry processes Additional Comments Candidate must have NG experience with PT speciality knowledge. Contact Info: Shivani: 8341128389
Posted 1 week ago
2.0 - 5.0 years
2 - 5 Lacs
mumbai
Work from Office
1. Customer Needs Assessment Conduct site visits, meetings, and discovery sessions to understand customer requirements and pain points Gather information about customer needs, preferences, and business objectives Analyze customer data and feedback to identify opportunities for growth and improvement 2.Solution Presentation Present project to customers, highlighting key features, benefits, and value proposition Customize presentations and demos to meet specific customer needs and requirements Address customer questions and concerns, providing technical expertise and support 3.Lead Qualification Filter leads to ensure high-quality leads are passed on to the sales team, based on customer needs and potential for conversion Assess lead quality using established criteria, such as budget, timeline, and decision-making authority Provide feedback and recommendations to the sales team on lead quality and conversion potential 4.Sales Team Collaboration Collaborate with the sales team to develop effective sales strategies and provide input on customer needs and preferences Share knowledge and expertise with the sales team, ensuring they are equipped to meet customer needs Work closely with the sales team to identify opportunities and develop solutions that meet customer requirements 5.Record Keeping Maintain accurate and up-to-date records of customer interactions, lead filtering, and sales activities Track customer feedback, concerns, and issues, and provide insights to the sales team and other stakeholders.
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
As a Claims Specialist in this full-time position located in Pune with a notice period of immediate joining, you will be responsible for accurately entering Patient Demographic information based on medical records. Your duties will include ensuring that Charge Entry is carried out in accordance with the procedures outlined in the records. You will also be expected to apply your knowledge of medical billing concepts, Federal and commercial insurance plans, including HMO, PPO, and POS guidelines. Furthermore, your role will involve handling WC/Auto claims in compliance with specific insurance guidelines. As part of your responsibilities, you will be required to verify all EFT deposits and scanned checks. Your attention to detail and adherence to protocol will be crucial in ensuring the accuracy and efficiency of the claims processing procedures.,
Posted 1 week ago
1.0 - 6.0 years
1 - 3 Lacs
chennai
Work from Office
Greetings!! We have immediate Hiring for Charge Entry !!!!! Requirements : Minimum one year of experience in Charge entry process & DEMO entry. Knowledge of DEMO entry is Mandatory The candidate must know about E&M CPT codes (starts with 99202 99215). Must know the modifiers usage. At least 25, XU, 59, RT & LT They should know about the place of service & Medical record review purpose. Should have sound knowledge of general medical billing. To know to check insurance Eligibility Need minimal iCD-10 knowledge. Medical Billing | US Healthcare Salary: Based on Performance & experience Freshers do not apply Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 7 days *******Work from office only and No REMOTE****** Interview time - Monday to Friday ( 10 am to 5 pm ) Contact person - REKHA HR ( 9043004654 ) Bring 2 updated resumes (If you coming for a direct walk -in Mention REKHA HR in your resume) If you're interested in joining Novigo, Call / Whatsapp ( 9043004654 ) - HR REKHA Location : Chennai, Ekkattuthangal https://maps.app.goo.gl/RofTmw39pxYZh7er6
Posted 1 week ago
1.0 - 4.0 years
2 - 6 Lacs
coimbatore
Work from Office
Overview The Accounts Receivable (“AR”) Specialists are primarily responsible for analyzing collections, resolving non-payables, and handling bill inquiries for more complex issues. AR Specialists are responsible for insurance payer follow-up ensuring claims are paid according to client contracts. Complies with all applicable laws regarding billing standards. Responsibilities Follows up on claim rejections and denials to ensure appropriate reimbursement for our clients. Process assigned AR work lists provided by the manager in a timely manner. Write appeals using established guidelines to resolve claim denials with a goal of one contact resolution. Identified and resolved denied, non-paid, and/or non-adjudicated claims and billing issues due to coverage issues, medical record requests, and authorizations. Recommend accounts to be written off on Adjustment Request. Reports address and/or filing rule changes to the manager. Check the system for missing payments. Properly notates patient accounts. Review each piece of correspondence to determine specific problems. Research patient accounts. Reviews accounts and determines appropriate follow-up actions (adjustments, letters, phone insurance, etc.). Processes and follows up on appeals. Files appeals on claim denials. Inbound/outbound calls may be required for follow-up on accounts. Respond to insurance company claim inquiries. Communicates with insurance companies about the status of outstanding claims. Meet established production and quality standards as set by Ventra Health. Performs special projects and other duties as assigned. Qualifications High School Diploma or GED. At least one (1) year in the data entry field and one (1) year in medical billing and claims resolution preferred. AAHAM and/or HFMA certification preferred. Experience with offshore engagement and collaboration desired.
Posted 2 weeks ago
1.0 - 4.0 years
2 - 5 Lacs
chennai
Work from Office
Review medical charts under the diagnosis and procedure to ascribe the related CPT and ICD-10 Ensure that you assign codes based on coding and customer guidelines Proficient coding of outpatient/Inpatient charts across a variety of specialties with over 97% accuracy and as per the turnaround time Strong knowledge of CPT and ICD-10 guidelines Assign correct codes and perform edits as per the correct coding initiative Work as part of a team and achieve the team quality and productivity standards Support billers and AR analysts. Participate in ongoing local chapter meetings of AAPC and other industry bodies Understand the causes of claim denials and continually improve coding standards Document feedback on errors in clinical documentation at a facility and physician-specific levels Fill the form below to apply now Email Your Resume If you would like to be considered for this position, please send an email to our recruiting team with your resume. Email: Candidate Profile Should have 1 - 4 years of experience in Medical Coding - Denial. Certifications desired CPC/COC from AAPC Knowledge of the US healthcare industry is desired Good knowledge of client-specific process rules and regulatory requirements
Posted 2 weeks ago
1.0 - 6.0 years
1 - 3 Lacs
chennai
Work from Office
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)
Posted 2 weeks ago
1.0 - 3.0 years
1 - 1 Lacs
chennai
Work from Office
We are seeking a detail-oriented Charge Entry Specialist to accurately enter charges into the billing system, ensuring proper documentation and compliance with industry standards.
Posted 2 weeks ago
4.0 - 8.0 years
5 - 9 Lacs
mumbai
Work from Office
What is your mission? The Account Technical Leader Manager leads across technical sales teams, fosters deep technical skills to drive the Client/Territory Technical strategy and execution, and implements the management system across their technical sales team. Coaches team to drive high performance and to harvest lessons learned from client engagements to share insights across the team. Leads by example with a strong point of view on Strategic Initiatives and strategies to compel clients to use IBM Technologies for their strategic IT architecture decisions. The client views ATL as a trusted partner, non-seller, deeply technical, well connected, and always available for insight, advice, architectural strategy, demo’s, PoX, etc. What client segment(s) do you support? Enterprise, Strategic, or Select. Required education Bachelor's Degree Required technical and professional expertise What are you accountable for? Technical Expertise Continuously grows skills on technology trends, Technology Decision Points, technical knowledge and business domain knowledge to better identify IBM technology synergies for client use cases. Provides highly contextual insights into the benefits of emerging technology adoption. Visible hands-on practitioner and evangelist of our technology both internally and externally Promotes effective collaboration and teaming with our technical sales resources including Brand Specialists, Client Engineering, Customer Success Managers and Ecosystem Sales Execution Partners with Technology MD/Technology Seller colleagues on account/territory planning revenue growth strategies. Articulates business value of client’s partnership with IBM and positions best technical solutions that meet client needs and deliver revenue growth to IBM Provides team direction for the co-creation of solutions with clients, applying technical skills, industry knowledge and “out of the box” thinking that engage the client to experience the value of IBM’s recommendations. Managing for Growth Drives adoption and penetration of IBM’s strategic platforms through innovative problem solving and solution recommendations that advance modern IT architectures to execute the Client Technical Strategy. Preferred technical and professional experience NA
Posted 2 weeks ago
1.0 - 5.0 years
3 - 5 Lacs
hyderabad
Work from Office
Hiring for Healthcare - RCM Roles: AR caller AR Caller - QA Walkin Location: DivyaSree TechRidge, Block P2 (North Wing), 7th Floor, Manikonda, Hyderabad - 500089 Contact us: Aravind - 7013671172 - Aravind.nirudi@Sutherlandglobal.com Place my name at the top of your resume: Aravind HR. AR Caller Experience: 12 months to 5 years Education: Graduation is mandatory Skills Required: Strong understanding of Revenue Cycle Management (RCM) and Denial Management Exposure to multi-specialty billing Familiarity with CMS-1500 forms Proficient in medical coding tools like CCI and McKesson Knowledge of Clearing House systems such as Waystar Understanding of e-commerce platforms related to healthcare AR Caller Quality Analyst (QA) Experience: 3 to 5 years as a QA or Internal Quality Auditor Education: Graduation is mandatory Skills Required: In-depth knowledge of RCM , Denial Management , and multi-specialty billing Familiarity with CMS-1500 forms Proficient in medical coding tools like CCI and McKesson Experience with Clearing House systems such as Waystar Understanding of e-commerce platforms in healthcare Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "
Posted 2 weeks ago
2.0 - 5.0 years
2 - 5 Lacs
chennai
Work from Office
Accurately record patient information, insurance details, and service codes from patient records into the billing system. Demonstrate a good understanding of medical billing processes, including coding, claims filing, and insurance verification Verify the accuracy of charges and post them to the patient's account within the billing software Contribute to the smooth functioning of the revenue cycle by accurately and timely entering charges and posting payments. Adhere to all relevant regulations and guidelines related to medical billing and data privacy. Develop proficiency in using various billing software and electronic medical records systems. Ability to interpret and analyze EOBs/ERAs. Processing Electronic Remittance Advices (ERAs) and manual Explanations of Benefits (EOBs). Recording insurance and patient payments, including adjustments and denials, in the system. Applying offset and write-offs. Balancing the batches with the deposit total Identifies any payments not being paid at the allowed/contracted amount and communicates this to the appropriate billing representative Identifying and communicating denials to the Account Receivable team. Walk-In Between : Monday to Friday : 11.00 AM to 07.00 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.
Posted 2 weeks ago
3.0 - 7.0 years
4 - 9 Lacs
hyderabad, chennai
Work from Office
*We're Hiring* Job Title: Multiple Positions Available - Revenue Cycle Management If Interested, Kindly Register to the below link :(Mandate) Registration Link: https://forms.office.com/r/KJxsEYmgGH?origin=lprLink Job Summary: We are seeking experienced and motivated individuals to join our growing team in Chennai and Hyderabad. We have multiple openings across various functions within our medical billing and healthcare operations departments. If you have a strong background in any of the areas listed below, we encourage you to apply! Key Responsibilities & Requirements: Accounts Receivable/AR Calling (5-7 Years Experience): Extensive experience in accounts receivable management within the healthcare industry. Proficiency in insurance follow-up procedures and resolving claim denials. Strong communication and negotiation skills. Pre-Authorization (3-5 Years Experience): Experience in obtaining pre-authorization for medical services. Thorough understanding of insurance verification and authorization processes. Processing Claims (Medical Billing) (3-5 Years Experience): Comprehensive knowledge of medical billing processes. Experience in demographics entry, charge entry, claims editing, clearinghouse edits, and claims scrubbing. Eligibility Verification (3-5 Years Experience): Experience in back-end registration verification and eligibility checks. Charge Entry (3-5 Years Experience): Proficient in charge creation and reviewing medical documentation to ensure accurate billing. Credentialing (3-5 Years Experience): Experience in provider credentialing processes. Qualifications: Bachelor's degree in a related field is preferred. Proven experience in the relevant skill area as outlined above. Excellent attention to detail and accuracy. Strong analytical and problem-solving skills. Ability to work independently and as part of a team. Additional Information: Notice Period: Immediate to 30 days Work Location: Chennai and Hyderabad Shifts: Rotational Work Environment: 5 days working from the office Locations: Chennai: 6th Floor, SEZ, Ramanujan IT City, 8th Floor Cambridge Tower, SH 49A, Tharman, Chennai, Tamil Nadu 600113, India Hyderabad: 6th floor, M/s Sundew Properties Ltd, IT/ITES SEZ, 12D, Mindspace, HITEC City, Madhapur, Telangana 500081, India
Posted 2 weeks ago
5.0 - 10.0 years
5 - 7 Lacs
bengaluru
Work from Office
Hi Applicants! Greetings from Flatworld Healthcare Services!! Hiring for Process Trainer - End-to-End Revenue Cycle Management Designation : Process Trainer Experience : 5 - 10 years Salary : 7.80lpa (Based on previous ctc ) Location : Bangalore (Kudlu gate) Shift : Flexible shift Contact HR Ajay - 9035473863 email: ajay.k@finnastra.com About the Role: We are seeking a knowledgeable and experienced Trainer to deliver comprehensive training on End-to-End Revenue Cycle Management (RCM) within the US Healthcare domain. The ideal candidate will have hands-on experience in RCM processes and will be responsible for developing and conducting training sessions to enhance the skills of our team, ensuring effective management of revenue cycles and compliance with healthcare regulations. Key Responsibilities: Develop and deliver training programs covering the entire US Healthcare RCM process including Patient Access, Eligibility & Verification, Medical Coding, Charge Capture, , Payment Posting, Denial Management, and Accounts Receivable Follow-up. Provide in-depth knowledge on healthcare billing and coding standards (ICD-10, CPT, HCPCS), payer policies, and regulatory compliance. Train on tools and software commonly used in RCM such as EHR/EMR systems, billing platforms, clearinghouses, and denial management solutions. Conduct workshops, webinars, and one-on-one sessions for new hires and ongoing staff development. Assess trainees progress and provide constructive feedback to ensure mastery of RCM processes. Collaborate with subject matter experts and department leads to tailor training content aligned with business goals. Keep abreast of industry changes, regulatory updates, and best practices in US Healthcare RCM. Create comprehensive training materials, manuals, and documentation. Support team members in resolving complex RCM issues during and post-training. Required Skills & Qualifications: Minimum of 5 years of hands-on experience in US Healthcare Revenue Cycle Management. Strong understanding of the end-to-end RCM lifecycle: patient registration, insurance verification, coding, billing, claims processing, denial management, and collections. Familiarity with medical coding standards (ICD-10, CPT, HCPCS) and healthcare compliance requirements (HIPAA, CMS guidelines). Experience in using RCM software tools, practice management systems, and electronic health records (EHR/EMR). Proven experience in training and mentoring teams in healthcare or healthcare IT settings. Excellent communication and presentation skills. Ability to simplify complex processes and customize training based on audience needs. Detail-oriented with strong analytical and problem-solving skills. Certification in medical coding/billing or healthcare management is a plus (e.g., CPC, CPB, RHIA). Thanks & Regards, HR Ajay
Posted 3 weeks ago
8.0 - 12.0 years
12 - 19 Lacs
bengaluru
Work from Office
As a part of MS Nutanix support team deliverables, the engineer is required to have strong Admin, Operate and Manage skills in Nutanix to provide services for global HPE customers. Candidate should have a strong customer focus, sensitivity in dealing with diverse cultures, ability to learn and adapt quickly. Eligibility & Qualification: Bachelors degree in Engineering (or Equivalent). Minimum 8 years of relevant experience in Enterprise Managed Service environment. Certification on the latest tracks like NCP-MCI, VMware VCP, ITIL is an added advantage. Flexible to work in 24/7 support environment. Minimum level should be SPE if applying as part of Internal Job Posting. Technical Skills: Admin, Operate and Manage Nutanix hyper-converged infrastructure. Experience in configuring Nutanix Hardware and Software components. Experience in configuring Nutanix server, storage and networking. Experience in Nutanix command line interface. Experience in integrating Nutanix with Backup and Disaster recovery solutions. Experience in monitoring Nutanix infrastructure and optimizing. Maintain Nutanix infrastructure documents (HLD, LLD). Experience in Nutanix Performance Monitoring and Performance Chart. Experience in Nutanix upgrades. Experience in Nutanix security best practices. Experience in log analysis and RCA. Experience in Nutanix Era, Prism, Flow, Era, Xi IoT and Files solutions. Experience in VMware vSphere products. Basic understanding of DHCP, DNS and Active Directory. Basic knowledge of Linux Operating Systems. Basic knowledge of Physical Network and Storage technologies. Key Responsibilities: Resolve customers issues via telephone, email, or remote sessions. Identify and escalate issues in a timely manner to vendor according to process guidelines. Leverage internal technical expertise, including peers, mentors, knowledge base, community forums and other internal tools, to provide the most effective solutions to customer issues. Collaborate with other technology teams in diagnosing and isolating the cause of complex issues. Maintain quality on case documentation, SLA timeframes and operational metrics. Performs within the Productivity Measure of the team (scorecard). Handle Problem Management, Post Incident Reviews and RCA. Non-Technical Skills: Excellent written and verbal communication skills. Commitment to deliver high quality product and solution support. Must achieve excellent customer satisfaction. Take ownership and work with high productivity and efficiency. Support other team members and seek their advice to make decisions on complex issues. For Internal Job Movement: Approval of the employee's current manager is required. Employees are expected to notify their manager prior to an interview. Employees in Performance Improvement Plan are not eligible to apply.
Posted 3 weeks ago
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