299 Charge Entry Jobs - Page 4

We are looking for a motivated and energetic Business Development Intern to join our team. This internship is a great opportunity for fresh graduates to learn and grow in a fast-paced tech environment. You'll play a key role in identifying leads, supporting outreach efforts, and helping us build relationships with potential clients. Responsibilities Assist in identifying and qualifying new sales opportunities Reach out to prospects via email, LinkedIn, and phone Maintain and update CRM records Support the sales team in preparing pitches and demos Learn and understand our API-based products and communicate value to prospects Coordinate with internal teams to ensure smooth customer onboarding Track and report performance metrics regularly Requirements Bachelors degree in any field Strong communication and interpersonal skills Curious, proactive, and eager to learn Basic understanding of APIs or a willingness to learn No prior experience required What We Offer Hands-on exposure to the B2B tech sales process Mentorship from experienced team members Flexible work culture Certificate of completion Performance-based opportunity to convert to a full-time Business Development role

About Client Hiring for One of the Top most Prestigious Multinational Corporations!!! Job Title : Senior Process Analyst / Health care Qualification : Any Graduate Experience : 1+ years Skills Required : Good communication skills Healthcare AR Calling Denial Management Provider Side RCM Physician Billing / Ambulance Billing / Hospital Billing - Medical billing Roles and Responsibilities : 1. Act as the primary point of contact for the branch (US onshore), providing comprehensive support. 2. Understand and implement US Health Insurance regulatory standards, guidelines, policies, and procedures. 3. Ensure end-to-end support of the policy lifecycle services. 4. Assume the role of Client Associate (~35 accounts) at the branch. 5 . Conduct end-to-end renewal activities as a US Health Insurance domain expert. 6. Coordinate with internal operations teams to complete renewal activities on time. 7. Handle queries effectively to minimize rework at the service center. 8. Identify risks and issues and navigate them to successful resolution. 9. Maintain strong time management and organizational skills. 10. Foster a positive relationship with onshore branch staff to enhance the overall customer experience. 11. Understand and complete renewal activities documentation, including Census, SBC, SPD, Carrier Proposals, Enrollment Materials, Contracts, Certificates, and Policies. Location : Bangalore Notice period : Immediate to 30 days Shift Timings : US Shift Mode of Interview : Walkin (Just 2 rounds - easy selects ) Mode of Work : Hybrid -- Thanks & Regards, Amulya HR Analyst Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 08067432437 | Whatsapp : 63669 79339 @blackwhite.in | www.blackwhite.in ************************PLEASE REFER YOUR FRIENDS***********************

Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. We are an Equal Opportunity Employer. No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender, marital or family status, color, race, ethnic origin, religion, disability or age; nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law. For more information, please explore Veradigm.com. What will your job look like: Responsible for charge entry through the careful review of source data provided by clients with accurate recording demographics and charges associated with patient information and insurance. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results. No budget responsibilities, but must meet established RCM KPI's. Main Duties: Strong customer service skills; answering client calls; • prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally • Timely input of demographic charges and time of service payment information • Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD codes and date of injury (DOI) • Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians unique attributes • Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work • Reduce denials by correct use of modifiers, mapping, and linking codes with services • Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems • Successfully and effectively track and follow up on information requests to and from the clients. • Work with clients and others to facilitate information and resolve charge questions • Achieve goal of a 48-hour turnaround batch time • Responsible for Claim Edit Reports and Unassigned Money Reports • Complies and enforces all policies and procedures • Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements • Other duties as assigned Academic Qualifications: High School Diploma or GED (Required) An Ideal Candidate will have: 1+ year relevant work experience (Preferred) • Extensive knowledge with email, search engines, Internet; ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as Next Gen, Pro, Epic and others. Work Arrangements: Work from Pune Office all 5 days. Shift Timing: 7:30 PM IST to 4:30 AM IST (US Shift) Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish. Quarterly Company-Wide Recharge Days Peer-based incentive Cheer awards “All in to Win” bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm, please visit the links mentioned below: - https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/

Arzion RCM is looking for Arzion Business Solutions - Patient Caller in Chennai to join our dynamic team and embark on a rewarding career journey Tellecaller is responsible for various tasks including planning, execution, and management of related duties They should possess relevant skills and experience to excel in this role Duties include teamwork, problem-solving, and achieving organizational goals Candidates must have strong communication and technical abilities Responsibilities include project management, strategy execution, and performance optimization (More details as per role requirements )

Account receivable Caller or credential specialist worked in US health care medical billing.Good knowledge of RCM 6239443426 Meena Only candidate from Mohali , Himachal , Chandigarh apply Candidate from other location please donot apply

We are looking for a dynamic Sales Executive to build strong client relationships, pitch customized signage solutions, and contribute to business growth. This is an exciting opportunity for freshers or early-career professionals passionate about sales and customer interaction. Key Responsibilities Identify and develop new business opportunities for signage solutions. Conduct client meetings, presentations, and product demos. Prepare quotations, follow-ups, and close deals effectively. Maintain CRM records and generate regular sales reports. Collaborate with the marketing team to enhance outreach. Stay updated on industry trends and competitor offerings. Travel for client engagements when required. Requirements Freshers welcome; prior customer-facing or sales experience is a plus. Graduate/Diploma in Business, Marketing, or any relevant field. Excellent communication and interpersonal skills. Basic knowledge of MS Office tools. Self-motivated and result-driven attitude.

Inside Sales Executive Hybrid (Onsite / Remote) | Software Sales We are hiring an Inside Sales Executive to promote and sell software solutions specifically designed for Chartered Accountants. Key Responsibilities: Conduct demos of software products via phone and remote tools (Anydesk Zoom). Understand the product features and match them with client requirements. Engage and follow up with leads from the database and convert them into paying clients. Target client base includes CA firms and professionals. Required Skills: Excellent communication & convincing skills. Experience in telesales or software sales (preferred). Ability to understand and explain software products clearly. Comfortable with demo tools like Zoom or Anydesk.

Sales Engineer - Control Valves (MIL - KSB Ltd.) Key Responsibilities: Lead generation in the control valves sector Handle technical and commercial discussions Conduct product presentations and demos Convert leads into successful deals

Greetings from Cedarr Technology Solutions Role & Responsibilities 1. Good Knowledge in Demo Entry & Charge entry 2. Solid Knowledge of CPT/ ICD 10/ Coding Ethics. 3. Eligibility Verification. 4. Accurately and efficiently enter charges daily. 5. Billing Claims based on Fee Schedule. 6. Work Claim Rejections. 7. Knowledgeable in medical billing Policies and Procedures. 8. Transmit electronically or submit by paper the posted charges to appropriate payers or insurance companies. 9. Able to work independently. 10. Experienced in working on Multi specialties is an added advantage. Others 1. Exp : 1-2 years 2. Location : Chennai 3. Shift - Day shif 4. Salary Best in the Industry. 5. Education Any Graduation Designation: Charge Entry Executive Shift: Day Location: Anna Nagar, Chennai Complete Work from Office Experience: 1 - 2 years Interested candidates can reach Sujatha HR @ 8056067637 HR Team Cedarr Technology Solutions

We are hiring for Payment posting !!!! Location: Salem, Tamil Nadu (Work from Office) Experience Required: 1-4 Years in Medical Billing Compensation: Competitive based on skills and prior experience (Experienced candidates only) Responsibilities: Accurately post insurance payments into patient accounts through manual and ERA posting. Handle adjustments such as recoupments, offsets, forwarding balances, overpayment recoveries, and interest payments. Ensure correct application of deductibles, copays, and coinsurance amounts. Identify, interpret, and resolve issues related to denial and remark codes. Maintain proper documentation and ensure all postings are error-free. Coordinate with AR and billing teams to address discrepancies in payment posting. Requirements: 1 4 years of hands-on experience in Payment Posting within Medical Billing. Strong understanding of insurance payment posting processes (patient payment posting not considered). Must have worked extensively on manual posting along with ERA. Knowledge of denial/remark codes (minimum of 5) with ability to resolve related issues. Familiarity with offset, recoupment, and recovery processes. Good knowledge of deductibles, copays, and coinsurance is essential Job Title: Payment Posting Medical Billing (Executive / Senior Executive) Work Location: Salem, Tamil Nadu (Work from Office) Experience Required: 1 4 Years in Medical Billing (Payment Posting) Interested candidate can reach Vilashini HR@8925866801 or vilasini.v@veehealthtek.com

Job Summary Join our dynamic team as a Specialist in Provider Credentialing where you will leverage your expertise in healthcare products and credentialing processes to ensure compliance and efficiency. With 4 to 6 years of experience you will play a crucial role in maintaining the integrity of our provider network. This hybrid role offers the flexibility of night shifts allowing you to balance work and personal commitments effectively. Responsibilities Oversee the credentialing and re-credentialing processes for healthcare providers to ensure compliance with industry standards and regulations. Collaborate with cross-functional teams to streamline credentialing workflows and improve operational efficiency. Analyze provider data to identify discrepancies and implement corrective actions to maintain data accuracy. Develop and maintain comprehensive documentation of credentialing procedures and policies. Provide support and guidance to providers throughout the credentialing process to ensure a smooth and efficient experience. Monitor and report on credentialing metrics to identify trends and areas for improvement. Implement best practices in credentialing to enhance the quality and reliability of provider information. Coordinate with external agencies and stakeholders to facilitate timely credentialing approvals. Utilize healthcare product knowledge to optimize credentialing processes and ensure alignment with organizational goals. Conduct regular audits of credentialing files to ensure compliance with internal and external standards. Assist in the development and delivery of training programs for new team members on credentialing procedures. Participate in continuous improvement initiatives to enhance the overall effectiveness of the credentialing department. Ensure all credentialing activities are conducted in accordance with company policies and regulatory requirements. Qualifications Possess a strong understanding of healthcare products and their application in credentialing processes. Demonstrate expertise in credentialing and re-credentialing within the healthcare domain. Exhibit excellent analytical skills to assess provider data and identify discrepancies. Show proficiency in developing and maintaining documentation of credentialing procedures. Display strong communication skills to support providers and collaborate with cross-functional teams. Have experience in monitoring and reporting on credentialing metrics. Be adept at coordinating with external agencies for credentialing approvals. Certifications Required Certified Provider Credentialing Specialist (CPCS)

Role Objective: To directly supervise and motivate a team of frontline employees, ensuring day-to-day operations run smoothly, meet performance targets, maintain quality standards, and effectively communicate company goals while fostering a positive work environment and addressing challenges at the operational level, acting as a bridge between management and the workforce. Essential Duties and Responsibilities: Great with Healthcare knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have people centric mindset to manage team Should have verbal and written communication skills, probing skills and denials understanding Work in all 06pm to 3Am shifts. Should be okay with work from office Skill Set: Candidate should possess good Healthcare knowledge. Candidate should have knowledge of Commercial, Medicaid, Medicare and other Government / miscellaneous payers. Ability to interact positively with team members, peer group, seniors and onshore counterpart. Credit Balance Knowledge Detailed understanding of Denials Exposure on all financial class for all payers Pre-requisite: Should have analytical skills & exhibit clear thinking/reasoning Should be able to comprehend & well-articulated to present his/her thought process well Should have excellent feedback and coaching skills

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 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.

Greetings from Vee HealthTek...! We are hiring for Charge Entry, Demo Entry & Payment Posting @ Salem Experience: 1 Yrs. to 4 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Location - Salem Designation : Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Nandhini Eswaran Contact Number - 9047772983 (What's App) Mail Id - nandhini.e@veehealthtek.com

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 Additional Comments Candidate should have good aptitude along with OBGYN speciality experience. Preferrable candidates carrying ECW & EPIC practice management systems hands-on experience. Expected Qualities: • Integrity • Attention to detail. • Creative- Out of the Box thinking • Challenger of the status quo • Organized • Passionate Job Requirement: • Basic knowledge of CPT and ICD codes and modifiers, DME, Specialty-specific CPT series, Medicare codes, CMS-1500, UB-04 form. • Should have knowledge to read and analyse the Medical Notes. • Should have knowledge about encounter/face sheets and/or registration forms/ Super-bills/Facility-Place of Service/DOS. • Should have knowledge of Provider information, Insurances and associated Plans, checking eligibility, prior-authorizations, Referrals, adding Referring Physicians, posting payments, retrieving documents and submission of claims. • E/M-Office charge entry and Hospital Billing. Medicare and Medicaid guidelines. • Knowledge of HIPAA regulations. • Must be available for 2-3 days hands-on evaluation. • Must be proficient in MS Excel and Word. • Next Gen experience is an added advantage. Contact Info: Shivani: 8341128389

Hiring for Healthcare - RCM Roles: AR caller AR Caller - QA Charge Entry Contact us: Joselin Sandra A HR - 8825513939 or Send your resumes to this Mail ID joselin.sandraa@sutherlandglobal.com 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 Charge Posting / Charge Entry Experience: 1 to 4 years Education: Graduation is mandatory Skills Required: Solid understanding of RCM Experience in handling patient demographics , procedure codes , and diagnosis codes Exposure to multi-specialty billing environments Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

About The Role Energy Risk and Accounting (ERA) team plan an important role in the life of a deal (LoaD) covering processes such as pre-settlements & settlements for buy/sell transactions, period end close including accruals & inter group matching/reconciliations, inventory reconciliation/valuation, M2M/specific accounting, Trade book to financial reconciliations, balance sheet reconciliations, Group disclosures, CI, controls/SOX compliance and audit activities. The processes are complex and often time critical; they involve working closely with different teams embedded within the LoaD of Trading business, particularly the commercial/BIAM operations teams at the different Trading hub locations. ERA process currently relies on multiple ETRM & SAP systems (with some connected applications) to perform their scope of work cited above. There are strategic programs under way (known as ADA in Energy Europe and ASPIRE in SEAm) to implement (i.e., replacing current ETRMs with) the latest version of ENDUR as standard ETRM, bring in standard data platforms/connected applications and market centric tools where needed to simplify our complex PDS (process, data and system) landscape. This transformative exercise also involves bringing preventative controls, standardize the way we work and bring in efficiencies with streamlined processes for Energy Trading businesses. Energy Businesses covering Gas, Power and EPT are growing rapidly with the complexities and subject to regional/local compliance requirements/competition. Though the transformation is underway for Energy Europe and North America, such transformation exercise is expected to be extended to Energy Australia, Energy Asia and Global LNG businesses. Setting up a simple, agile, standard and scalable PDS landscape is paramount to provide competitive advantage to the business. The purpose of this ERA Lead Process Architect is to assess the current design, understand requirements/pain areas, use the external lens and design the best-in-class future state design, lead and deliver the transformation roadmap. This role will focus both on current systems landscape to ensure continued stability and to assess areas of opportunities that can be addressed through transformation, process reengineering leveraging Process data and systems (PDS) optimization practices. This role will also play a natural integrator role for wider FO scope in the transformation projects. Energy Trading business is likely to replace its current SAP/P80 platforms with S4 HANA in the near future. The PDS landscape and the design which we put in as part of the above transformation exercise, should be S4 HANA ready. The Energy Trading and LNG business acquire companies frequently. The role of this ERA Lead Process Architect is to bring in such acquired entities closer (i.e., integrate them) to the PDS design as designed in the above transformation. As these PDS transformative Projects are expected to be a multi-year journey, the expectation for the role holder is to support design, lead and deliver execution. This role will have high visibility with stakeholders regionally and globally as it involves extensive collaboration and influencing across all Process Executive. The T&S business (particularly Energy Trading business) is rapidly changing and the challenges for the next few years will be to support these business changes in a sustainable way while ensuring ongoing operations keep delivering to a high standard. The role will also focus on other BAU activities such as onboarding new markets, new instruments, new trading venue/exchanges and complex deals to settle down till the transformation is initiated. Though this role will primarily focus on PDS transformation projects in the Energy/LNG Trading businesses in the medium term, this role will also focus on other BAU activities such as onboarding new markets, new instruments, new trading venue/exchanges and complex deals to settle down till the transformation is initiated. The key aspect of the role is to ensure convergence between the Energy Trading business with a view to standardize wherever possible. This role will start as an Individual Contributor and may lead to a team lead capacity in the future. In summary, the role provides an excellent opportunity for a motivated individual to quickly gain deep knowledge/experience of a fast moving/ exciting Trading business, related processes/data/system experience, automation/digital transformation and extensive stakeholders management skills to work with business partners and our operations teams to ensure top quartile performance. - Basic and must have requirements are around 1. Gas/Power/EPT/LNG and related Life of a Deal 2. Process/Data/systems interplay in the E2E architecture and 3. Matured stakeholders relationship with business/IT. Process and Transformation Qualified Accountant (ACA/CIMA) or MBA Finance from premier business schools with 15+ years of professional experience on the following areas Good understanding of Trading Business in general, Energy Trading in particular and their LoaD. Deep understanding of ERA processes outlined above. Experience in designing and implementing preventive controls (business/financial and IT) with the particular focus on bringing them to the front end of the process where they are better placed. Understanding of wider FO process including R&A, Tax and FO Data and be a natural integrator to design/deliver e2e FO process. Ability to work and delivery through others would be a key advantage. Good understanding of PDS (Process Data Systems) landscape in the Energy Trading world and significance in ETRM implementation programs along with Data Platforms to transform the E2E architecture and process that is futuristic. Good understanding of best practices in the industry/external mindset and ability to bring in market-based tools wherever required to make the process touch less. Experience in transformational process improvement initiatives with proven abilities to propose standardization across different programs and streamlining opportunities along with methods to integrate and implement new ways of working leveraging tools/ technologies to enhance value while ensuring solutions developed remain cost effective. Ability to suggest simplified business models and integration of acquired companies to deliver simplified and standardized PDS. Stakeholder management and Leadership Excellent stakeholder engagement, Program management and change management skills, including ability to drive and influence ERA/FO change agenda . Existing relationships with Energy Trading would be an added advantage. Strong leadership skills with an ability to influence stakeholders, excellent communications skills - written and oral. The role involves extensive interactions with various stakeholders and therefore requires a combination of intellect, maturity, strength of character, and an ability to earn respect. Proven organizational and prioritization skills. Manage ambiguity and build strong relationships at global and local levels. Process Data and Systems Delivery Transformation agenda at ERA level leveraging PDS practices Ensure ERA process continue to support developing business requirements whilst maintaining a robust financial control framework. Ensure alignment and collaboration with other process excellence organizations (in T&S and FO) and Continuous Improvement teams. Actively support knowledge sharing within the teams that aids standardization/ streamlining of processes Stakeholders Develop and foster connections with relevant business partners and other stakeholders (including other processes) to ensure any issues in the end-to-end process are identified during automation and solutions are implemented quickly. Support and assist collaboration and ways of working between operations teams and business partners as required. Values Show excellent leadership behavior supporting the organization Establish and maintain an office environment supportive of diversity and inclusiveness Support a safe environment and sustainable working.

Hiring for Healthcare - RCM Roles: AR caller AR Caller - QA Charge Entry 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 Charge Posting / Charge Entry Experience: 1 to 3 years Education: Graduation is mandatory Skills Required: Solid understanding of RCM Experience in handling patient demographics , procedure codes , and diagnosis codes Exposure to multi-specialty billing environments Note: "Sutherland never requests payment or favors in exchange for job opportunities. Please report suspicious activity immediately to TAHelpdesk@Sutherlandglobal.com "

Greetings from Vee HealthTek...! We are hiring for Charge Entry, Demo Entry & Payment Posting @ Salem Experience: 1 Yrs. to 4 Yrs. (Relevant Medical Billing experience) Process - US Healthcare (Non-Voice) Location - Salem Designation : Processor / Senior Processor Qualification: PUC and Any graduate can apply Remote interview process Virtual meetings Interested candidate's kindly contact HR: - Name - Sakthivel R Contact Number - 8667411241 (What's App) Mail Id - sakthivel.r@veehealthtek.com

Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Qualifications High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials.

Overview The Coding Denial Specialist responsibilities include working assigned claim edits and rejection work ques, Responsible for the timely investigation and resolution of health plan denials to determine appropriate action and provide resolution. Responsibilities Processes accounts that meet coding denial management criteria which includes rejections, down codes, bundling issues, modifiers, level of service and other assigned ques. Resolve work queues according to the prescribed priority and/or per the direction of management in accordance with policies, procedures, and other job aides. Validate denial reasons and ensures coding is accurate. Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission. Escalate exhausted appeal efforts for resolution. Adhere to departmental production and quality standards. Complete special projects as assigned by management. Maintain working knowledge of workflow, systems, and tools used in the department. Qualifications High school diploma or equivalent. One to three years’ experience in physician medical billing with emphasis on research and claim denials.

Educational Requirements MBA,MCA,MTech,Bachelor of Engineering,BCA,BTech Service Line Application Development and Maintenance Responsibilities As a Product Analyst your role is pivotal to delivering feature user stories within a scrum team and continuously building a backlog for the scrum team. Work with the Product Manager to map out the user stories for a capability/feature, become the SME of the capability and develop products to meet the needs of customers and industry. Additional Responsibilities: Competencies Navigating between multiple stakeholders to derive consensus. Demonstrate ability to understand customer pain points, market gap analysis, opportunity analysis. Critical thinking, analysis, and problem-solving skills to address core business problems. Support user testing and ensure product meets implementation needs. Track progress and perform demo to relevant internal stakeholders and external product users. Strong reporting abilities by keeping track of multiple topics/ open questions. Strong acumen in MS office related tools PowerPoint, Excel Experience working with JIRA, Confluence, Visio Aspiring to work in a fast paced and agile environment Has a proactive can-do attitude. Technical and Professional Requirements: Hands on experience working with Payer/ Provider/ PBM organizations Multiple stakeholders (internal/ customer/ vendors) Communicating and understanding architecture design decisions and impacts to features/user stories. Experience in legacy and web-based systems interfaces, Application Programmable Interfaces (APIs) Create and own detailed use cases, supporting functional requirements, user stories and acceptance criteria(s) Sound knowledge and experience on Agile. Experience and desire to work in a Global delivery environment. Preferred Skills: Domain-Healthcare- Healthcare - ALL Technology-Analytics - Functional- Business Analyst

Role & responsibilities Lead and manage large RCM delivery teams, including managers and team leads across multiple functions (billing, coding, AR, etc.). Ensure smooth execution of processes across the revenue cycle to achieve operational KPIs (cash collections, DSO, AR aging, denial rate, etc.). Drive continuous process improvements through automation, standardization, and lean methodologies. Partner with clients, internal stakeholders, and cross-functional teams to ensure high-quality service delivery and SLA adherence. Analyze performance reports and implement strategies to improve financial outcomes and operational efficiency. Oversee recruitment, training, and development of RCM staff to support team and business growth. Ensure adherence to HIPAA and healthcare compliance requirements. Lead transition and onboarding of new RCM clients/projects. Act as a strategic advisor to senior leadership on operational risks, metrics, and business development opportunities. Preferred candidate profile Bachelor's degree in Healthcare Administration, Business, or a related field (Masters preferred). 15-20 years of progressive experience in RCM operations, including 5+ years in a senior leadership role. Deep understanding of the US healthcare RCM cycle: coding, billing, collections, and compliance. Strong analytical and problem-solving skills with experience in revenue analysis and performance management. Proficiency in RCM platforms (e.g., Epic, Athena, Cerner, eClinicalWorks) and MS Office tools. Excellent communication, stakeholder management, and team leadership skills.

Arzion RCM is looking for Arzion Business Solutions - Trainee AR Caller in Chennai to join our dynamic team and embark on a rewarding career journeyAssisting experienced employees with their daily tasks and responsibilities.Observing and gaining hands-on experience in various aspects of the job.Receiving feedback and guidance from supervisors and mentors.Completing assigned projects and tasks under the supervision of experienced employees.Collaborating with team members and contributing to team projects.Demonstrating a strong work ethic, positive attitude, and a willingness to learn and grow.

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 1.80 lakh salary, Required Candidate profile Freshers can apply Night Shift Pl call 8939678664 / 6385125441