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6.0 - 8.0 years

0 Lacs

Navi Mumbai

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TRIARQ Health is a Physician Practice Services company that partners with doctors to run modern patient- centered practices so they can be rewarded for delivering high-value care. TRIARQs Physician-led partnerships simplify practices transition to value-based care by combining our proprietary, cloud-based practice, care management platform and patient engagement services to help doctors focus on better outcomes. Were hiring a passionate and detail-oriented Assistant Team Leader to join our growing Charge Posting team. If you come from a Medical Billing AR background and are ready to step into a leadership role, we want to hear from you! Key Responsibilities: Lead and support a team handling Charge Posting functions. Monitor team performance and ensure accurate and timely billing. Coordinate with clients, internal teams, and leadership to resolve issues. Mentor and train new team members and act as a subject matter expert (SME). Drive process improvement and maintain high standards of compliance and quality. Eligibility Criteria: Minimum 6 years of experience in US Medical Billing. Must be currently working as a Team Coach , Subject Matter Expert (SME) , or in an equivalent leadership/support role on paper . Strong understanding of Charge Entry/Posting processes. Experience in AR (Accounts Receivable) will be considered a plus. Preferred Skills: Excellent communication and team management skills. Detail-oriented with strong problem-solving abilities. Ability to work under pressure and meet deadlines. Contact & Email: HR Danish - 9082644346 / danish.penkar@triarqhealth.com Walk-in Details: Office address:- 12th Floor (Press 7 in Elevator), IT Building Q1, Aurum Platz Private Limited SEZ, Plot No. Gen 4/1, Trans Thane Creek Industrial Area, MIDC, Thane-Belapur Road, Ghansoli, Thane, Navi Mumbai, Maharashtra, 400710

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5.0 - 8.0 years

4 - 7 Lacs

Hyderabad

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Shift:General Shift ( 9 a.m. to 6 p.m.) Work Mode:In Office. JOB DESCRIPTION Role & Responsibilities: Thoroughly review medical records and billing data to identify discrepancies and errors in coding, claims, and reimbursement. Ensure compliance with regulatory standards, coding guidelines, and payer policies. Familiarity with medical terminology and clinical documentation. Assesses the assigned diagnostic and procedural codes in the selected records. They check if the codes accurately reflect the documented healthcare services and if they comply with coding guidelines (such as ICD-10, CPT). Identify areas for improvement in billing processes to enhance revenue collection and reduce denials. Analyze data to identify trends, patterns, and potential issues in billing practices. Knowledge of payer policies, Medicare regulations, and other relevant regulations. Ability to analyze data, identify trends, and draw conclusions. Ability to communicate effectively with billing staff, healthcare providers, and other stakeholders. Ability to identify and resolve billing discrepancies and errors. Proficiency with medical billing software and other relevant software applications. Prepare audit reports, provide feedback to staff, and offer recommendations for corrective action. Educate and train billing staff and healthcare providers on coding, billing, and regulatory changes. Identify and mitigate risks related to billing fraud, compliance, and revenue loss. Stay current on billing regulations, payer policies, and medical coding updates. PREFERRED CANDIDATE PROFILE: Any graduate or Postgraduate degree. Minimum of 5 years of experience in medical billing, with a strong understanding of US healthcare billing practices and regulations. Basic knowledge in medical coding. Demonstrated ability to develop and deliver effective training programs. Excellent communication skills, both written and verbal, with the ability to provide clear and concise instructions and explanations to team members. Attention to detail and a commitment to accuracy and efficiency. Strong analytical and critical thinking skills. Proficiency in medical billing software and systems. Ability to work effectively in a fast-paced and dynamic environment. Ability to work under minimum supervision and demonstrate strong initiative. Willing to work extended hours.

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2.0 - 5.0 years

2 - 4 Lacs

Hassan

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Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

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1.0 - 6.0 years

5 - 5 Lacs

Pune

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Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

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2.0 - 7.0 years

3 - 5 Lacs

Hyderabad

Work from Office

HIRING US Healthcare Openings for experienced in Payment Posting, Charges at Advantum Health, Hitech City, Hyderabad. Should have experience of atleast 2 years in Payment Posting / Charge Posting Location : Hyderabad Work from office Ph: 9100337774, 7382307530, 8247410763, 9059683624 Email: jobs@advantumhealth.com Address: Advantum Health Private Limited, Cyber gateway, Block C, 4th floor Hitech City, Hyderabad. Location: https://www.google.com/maps/place/Advantum+Health+India/@17.4469674,78.3747158,289m/data=!3m2!1e3!5s0x3bcb93e01f1bbe71:0x694a7f60f2062a1!4m6!3m5!1s0x3bcb930059ea66d1:0x5f2dcd85862cf8be!8m2!3d17.4467126!4d78.3767566!16s%2Fg%2F11whflplxg?entry=ttu&g_ep=EgoyMDI1MDMxNi4wIKXMDSoASAFQAw%3D%3D Follow us on LinkedIn, Facebook, Instagram, Youtube and Threads for all updates: Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india HR Dept, Advantum Health Pvt Ltd Cybergateway, Block C, Hitech City, Hyderabad Ph: 9100337774, 7382307530, 8247410763, 9059683624

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12.0 - 20.0 years

9 - 18 Lacs

Chennai

Remote

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. Track and report productivity metrics, TAT, AR aging, and denial trends on a regular basis. Lead and coach large teams (including TLs and AR specialists), ensuring alignment with SLA and performance targets. Conduct weekly/monthly/quarterly client business reviews (WBR/MBR/QBR) with actionable insights. Drive hiring decisions, attrition control, team development, and succession planning. Operational Oversight & Client Service: Oversee and coordinate with offshore billing partners for IRF & LTACH claims submission and follow-up. Monitor Discharge Not Billed (DNB) queues and collaborate with clients for timely resolution. Review payer contracts and escalate discrepancies in payments, rates, and allowances. Ensure AR and denial follow-ups are timely and accurate, adhering to payer and industry guidelines. Track and resolve issues in interface eligibility, claims submission, and remittance advice processes. Coordinate daily client communications and respond to inquiries with high professionalism. Claims & Billing Quality Control: Ensure claims are scrubbed and billed accurately by the billing partner. Address clearinghouse rejections and escalate unresolved issues. Review billing logs, rejection trends, and cash logs for accuracy and reconciliation. Access portals (Medicare, Medicaid, payer-specific) to review EOBs, RTPs, COBs, and claim statuses. Review credit balances and bad debts, including Medicare reporting. Process Improvement & Governance: Participate in regular RCM review meetings and escalate negative performance trends. Coordinate RCM meetings with clients and internal stakeholders. Support clearinghouse enrollments and lockbox access as needed. Ensure compliance with client SLAs, industry regulations, and internal policies. Baseline Competencies: Attention to Productivity and Quality Strong Customer Service Orientation Critical Thinking and Problem Solving Effective Communication Skills (Written and Verbal) Job Competencies: Proficient in Microsoft Office Suite (Word, Excel, Outlook) Sound knowledge of healthcare claims processing, AR follow-up, and collections Strong understanding of IRF & LTACH billing workflows and payer guidelines Comfortable with EMR systems, clearinghouses, and portal-based workflows Preferred candidate profile IRF & LTACH domain expertise Medical Billing Certification (AHIMA/AAPC or equivalent) Experience working with US healthcare clients or offshore delivery models Exposure to metric-based performance tracking and reporting

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1.0 - 5.0 years

1 - 2 Lacs

Vellore

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Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for Demo and Charge Entry with minimum 1Year of experience into Medical Billing Domain. Basic Requirements: Experience: 1 Years to 4 Years Specialties :Demo and Charge Entry Salary: Best in Industry Work Mode: WFO Notice Period: Immediate Joiners Location: Vellore 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. Interested candidate contact or share your updated resume to 9150064772 [Whatsapp] Regards Global HR Team 9150064772

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8.0 - 13.0 years

9 - 15 Lacs

Hyderabad

Work from Office

Desired profile: Should have 10+ years experience Should have handled denials Should have experience in US Healthcare AR Knowledgeable in planning and managing AR aging reports Should have experience in preparing KPI reports and interacting clients Should have experience end to end RCM (Charges, Payment posting, AR) Should have vast team management experience Shift: Night Shift Shift Timings: 5.30pm to 3.30am Whatspp profile to 9059683624 emailid: jobs@advantumhealth.com Follow us on our socials for all updates Advantum Health Linkedin Page: https://www.linkedin.com/showcase/advantum-health-india/ Advantum Health Facebook Page: https://www.facebook.com/profile.php?id=61564435551477 Advantum Health Instagram Page: https://www.instagram.com/reel/DCXISlIO2os/?igsh=dHd3czVtc3Fyb2hk Advantum Health India Youtube link: https://youtube.com/@advantumhealthindia-rcmandcodi?si=265M1T2IF0gF-oF1 Advantum Health Threads link: https://www.threads.net/@advantum.health.india

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1.0 - 3.0 years

2 - 4 Lacs

Hyderabad

Work from Office

We are hiring HOSPITAL BILLING (US HEALTHCARE) for one of the MNC for HYDERABAD location. Salary : Upto 4.30 LPA Working Days : 5 Days Shift : Any Both side Cab & meals WFO Only Required Candidate profile •Accurately input and post charges into the billing system for a variety of patients. *Software CMS :1450, UB:204 •Review and verify the accuracy of billing data. Call : 9643-58-3769

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1.0 - 4.0 years

0 - 3 Lacs

Hyderabad, Mumbai (All Areas)

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We are Hiring AR callers|| Work from Office|| Hyderabad, Mumbai || Upto 4.5 lpa Location : Hyderabad, Mumbai Education : Graduation required Requirements Min 1yr+ experience into AR calling Reliving mandate Graduation required Immediate joiners preferred Perks/ additional benefits Transportation provided Upto 30% hike on take home/ Ctc If interested , Please share your resume to Vyshnavi HR Phone:9154144802 Mail : hrvyshnavi.axisservices@gmail.com References are highly appreciated

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0.0 - 1.0 years

1 - 4 Lacs

Bengaluru

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We are looking for a highly motivated and detail-oriented AR Associate to join our team in Bangalore. The ideal candidate will have 0-1 years of experience in the healthcare industry. Roles and Responsibility Manage accounts receivable, including processing payments and resolving outstanding balances. Coordinate with patients, insurance companies, and other healthcare providers to ensure timely payment. Analyze and resolve billing discrepancies and denials. Develop and implement effective strategies to improve cash flow and reduce bad debt. Collaborate with the medical billing team to ensure accurate and efficient billing processes. Maintain accurate records of patient payments, invoices, and correspondence. Job Strong knowledge of accounting principles and practices. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced environment and meet deadlines. Proficient in Microsoft Office and other software applications. Strong analytical and problem-solving skills. Ability to maintain confidentiality and handle sensitive information. Experience working in a CRM/IT enabled services/BPO environment is preferred. About Company Omega Healthcare Management Services Private Limited is a leading provider of healthcare management services, committed to delivering exceptional patient care and customer service.

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1.0 - 4.0 years

3 - 6 Lacs

Mumbai, New Delhi, Bengaluru

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Expected Notice Period : 30 Days Shift : (GMT+05:30) Asia/Kolkata (IST) What do you need for this opportunity? Must have skills required: Customer demo, B2B, outbound Uplers is Looking for: We are looking for Hungry and Motivated BDRs who are proficient at doing Outbound in India Markets. - Would be responsible for generating outbound leads - Would be responsible for setting meetings for AEs - Would be responsible for qualifying meetings based on the qualification criteria - Would cater to the Indian market Requirements: - 1 year of proven experience in outbound calling to senior decision-makers (HR/CHROs, CTOs, VPs, and CEOs), specifically selling staffing and recruitment solutions. - Excellent Communication - B2B SaaS background preferred - High on confidence, Hunger, Motivation and Resilience - Good Sales Acumen - Consistent track record of meeting and exceeding Quota

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1.0 - 6.0 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - AR Analyst - Charge Entry & QC - Payment 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)

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1.0 - 4.0 years

1 - 3 Lacs

Noida

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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 We are hiring fresh graduates as well as experienced resources

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1.0 - 5.0 years

1 - 3 Lacs

Pune

Work from Office

Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

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1.0 - 5.0 years

0 - 1 Lacs

Pune

Work from Office

Charge Entry Eligibility Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Candidates with 1 - 5yrs of working experience in demo entry, charge entry, cash posting can apply. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred. Should have typing skills Should Have Basic Knowledge of the Entire Revenue Cycle Management (RCM) Should have excellent communication skills. Candidates who can join immediately are preferred.

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1.0 - 6.0 years

1 - 4 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) 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,SIDCOIndustrial Estate, Ekkattuthangal, Chennai 32 Contact details:- VIBHA HR vibha@novigoservices.com Call / Whatsapp ( 9043585877)

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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 - 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 HR 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)

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1.0 - 3.0 years

2 - 5 Lacs

Gurugram

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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.

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4.0 - 9.0 years

4 - 8 Lacs

Hyderabad

Work from Office

SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer

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4.0 - 9.0 years

4 - 8 Lacs

Noida, Hyderabad

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SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer

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3.0 - 8.0 years

10 - 12 Lacs

Pune

Work from Office

Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10, HCPCS, and insurance guidelines Good communication and leadership skills Graduation or diploma preferred Apply now and grow your career in RCM with us. CONTACT: Sanjana- 9251688426

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1.0 - 5.0 years

1 - 4 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 : 1Years - 6 Years Qualification : Any Graduate Notice: Immediate Joiner. Essential Requirement :- Associate should have worked Experience in Charge entry & Payment Posting with good knowledge of medical billing process. Location: Velachery & Vepery Shift: Day Contact Name : MALINI HR Contact Details - 9003239650 / 8925808598 (Call or Whatsapp) NOTE : (only Medical billing experience with 1Yrs are eligible) Regards MALINI HR GLOBAL

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3.0 - 5.0 years

3 - 6 Lacs

Chennai

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Location: Chennai Shift: Rotational Shift Experience Required: 3-5 Years Job Title: Charge Posting Specialist Job Description: We are seeking a detail-oriented and organized Charge Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting charges for services rendered, ensuring that all transactions are recorded correctly to facilitate timely billing and collections. Key Responsibilities: Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients. Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements. Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly. Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance. Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise. Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry. Training: Assist in training new team members on charge posting procedures and best practices. Job Title: Payment Posting Specialist Job Description: We are seeking a meticulous and organized Payment Posting Specialist to join our healthcare finance team. In this role, you will be responsible for accurately posting payments received from insurance companies and patients, ensuring the integrity of financial data and contributing to the overall efficiency of the revenue cycle. Key Responsibilities: Payment Entry: Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks. Reconciliation: Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies. Claims Management: Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams. Reporting: Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow. Customer Communication: Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner. Compliance: Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting. Process Improvement: Identify opportunities for streamlining the payment posting process and contribute to best practices within the team.

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1.0 - 4.0 years

0 - 3 Lacs

Bengaluru

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Role & responsibilities Reviewing patient medical records and bills to ensure accuracy Entering patient treatment codes into billing software Processing and submitting medical claims to insurance companies Following up on rejected or denied claims Communicating with healthcare providers and insurance companies to resolve billing issues Assisting with patient inquiries about billing and insurance Maintaining confidentiality of patient data according to HIPAA guidelines Updating and maintaining billing software with the latest coding information Performing regular audits to ensure that all charges are accounted for and billed correctly Processing payments from insurance companies and patients Preferred candidate profile Excellent written and oral communication skills. Minimum 1-year experience in AR calling Understand the Revenue Cycle Management (RCM) of US Healthcare providers. Basic knowledge of Denials and immediate action to resolve them. Follow up on the claims for collection of payment. Responsible for calling insurance companies in the USA on behalf of doctors/physicians and following up on outstanding accounts receivables. Should be able to resolve billing issues that have resulted in payment delays. Must be spontaneous and enthusiastic

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