3 Claim Resolutions Jobs

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5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

As a Subject Matter Expert (SME) in medical billing, insurance follow-ups, and claim resolutions, your role involves ensuring efficient cash flow and reducing outstanding Accounts Receivable (AR) days. Your responsibilities will include: - Monitoring and managing the AR process, which includes claim submissions, follow-ups, and appeals. - Ensuring timely follow-up on unpaid claims, denials, and appeals with insurance companies. - Analyzing aging reports and taking necessary actions to reduce outstanding receivables. - Analyzing and categorizing denials to identify trends and root causes. - Working with clients and insurance providers to resolve recurring denial issues. - Acting as a point of...

Posted 1 month ago

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3.0 - 7.0 years

0 Lacs

hyderabad, telangana

On-site

The subject matter expert (SME) in this role is responsible for providing in-depth knowledge and expertise in medical billing, insurance follow-ups, and claim resolutions. By leveraging this expertise, you will play a crucial role in ensuring efficient cash flow and reducing outstanding accounts receivable (AR) days. Having prior experience in Emergency Medical Services (EMS) would be an additional advantage for this position. Your essential skills for this role include excellent analytical, problem-solving, and communication skills. You should also have experience in working with aging reports, denials, and appeals processing. Your key responsibilities will revolve around monitoring and man...

Posted 2 months ago

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5.0 - 9.0 years

0 Lacs

coimbatore, tamil nadu

On-site

You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athe...

Posted 2 months ago

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