261 Charge Posting Jobs - Page 11

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

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

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

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

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

Mandatory leadership experience is required & responsible for managing a team of 50+ associates under at least 2-3 team leads. Responsible for timely and accurate posting of all payments. Experience in Payment posting, Denials Postings and Insurance rejections & Claims. Responsible to handle team and maintain teams production & quality, client coordination Should Possess extensive knowledge in Reviewing Explanation of Benefits (EOB) and Electronic remittance advice (ERA) documents, matches with electronic funds transfers (EFTs) and post payment to appropriate accounts. This Role involves extensive knowledge in Payment and Denial Posting, ERA posting, Correspondence posting, Insurance Portals, Bank Reconciliations, Marchant portals, Refund process, Statement and Collection process, EOM Reporting. Excellent skill sets required in Microsoft products, especially excel spreadsheet for reports and analyze data using tools like VLOOKUP. Pivot table etc. The right candidate should be able to handle the work pressure during End of Month and will take the challenge to meet the day-to-day deliverables. Ensuring the Daily/Weekly and Monthly reports are to be shared with the stakeholders in a timely manner and within the given time. Good communication and interpersonal skills especially with the team members and clients. Preferred Only Immediate Joiner Salary will not be a constraint to a right candidate & at par with the Industry standard.

Role & responsibilities RCM Manager oversees the entire revenue lifecycle in healthcare from patient registration through claims submission to payment collection ensuring the organization maximizes revenue, maintains compliance, and optimizes billing operations. Team Leadership & Training : Lead and mentor billing, coding, and AR staff, setting performance goals and ensuring operational consistency. Performance Analytics & Reporting : Monitor KPIs such as denial rate, clean claim rate, collection percentage and deliver insights for process optimization. Preferred candidate profile Requires 5-7 years of healthcare RCM experience and at least 2 years managing teams.

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

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst ( Non voice Day shift ) - Payment - Charge Entry - Charge QC Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 6 Pm ) Everyday contact person Vineetha HR ( 9600082835 ) Interview time (10 Am to 5 Pm) Bring 2 updated resumes Refer ( HR Name Vineetha vs) Mail Id : vineetha@novigoservices.com Call / Whatsapp (9600082835) Refer HR Vineetha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vineetha VS Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125, North Phase,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- HR Vineetha vineetha@novigoservices.com Call / Whatsapp ( 9600082835)

Candidate should have minimum 4 years of experience in US healthcare into RCM & minimum2 years of work experience as a trainer in RCM Package upto 10 LPA Contact 8377993148

Hiring Now: Leadership Roles in Healthcare RCM US Shifts | Training & Operations.(LOCATION- PUNE) We're looking for dynamic professionals to lead our Training and Operations departments across various senior leadership roles. Open Positions: 1. Vice President Operations (Healthcare RCM) Experience: 18+ years (1+ year in VP Operations role) Shift: US Shifts CTC: 70 LPA 2. Vice President Operations (Healthcare Transition) Experience: 18+ years (minimum 1 year as VP or 2.5 years as AVP in Transition) Shift: US Shifts CTC: 70 LPA General Requirements: Extensive leadership experience in Healthcare RCM Ability to work in US shift hours Strong expertise in Training, Operations, or Transition (as per role) Proven success in senior roles (AVP/VP/Sr. Director) Interested candidates may apply by sending their resume to HR CHANCHAL(9251688424) Please share this post if you know someone who fits the criteria.