7 Claim Submission Jobs

1. Shift Timings: US dayshift (Indian evening/night shift). 2. Qualifications and skillsets needed: a) Preferred Bachelors’ degree. b) At least prior 3+ years of experience in Accounts Receivable in Revenue Cycle Management. c) Strong understanding of insurance policies, claim processing, and reimbursement procedures. d) Basic knowledge of coding systems (CPT, ICD-10) and payer-specific requirements. e) Proficiency in healthcare management software, billing systems, and Microsoft Office applications (especially Excel). f) Acquaintance with payer portals, electronic remittance advice (ERA), and insurance claims processing. g) Strong analytical and problem-solving skills with the ability to handle complex billing issues. h) Excellent communication and interpersonal skills to interact with payers and team members. i) Detail oriented with strong organizational and time-management skills. j) Knowledge of HIPAA regulations and strict adherence to patient confidentiality. 3. Roles and Responsibilities a) Review and manage aging Accounts Receivable reports to identify unpaid claims and follow up on outstanding payments from insurance companies, Government payers, and patients. b) Work closely with insurance companies and other third-party payers to resolve claim discrepancies, denials, and payment issues. c) Monitor and follow up on unpaid claims in a timely manner ensuring adherence to payer timelines and resolving issues efficiently. d) Submit appeals and necessary documentation to insurance companies for denied or underpaid claims. e) Track and manage all patient balances, ensuring timely collection of payments. f) Communicate with patients to resolve outstanding balances and set up payment plans when necessary. g) Document all communications with patients and payers accurately in the system. h) Collaborate with the Billing and Coding Departments to ensure accurate and complete information are included on claims submissions. i) Investigate and resolve discrepancies between payments and billed amounts, ensuring accurate reconciliation of accounts. j) Perform routine audits of patient accounts and payment records to ensure accuracy and completeness. k) Maintain accurate records and reports of all accounts receivable activities, including follow-ups, appeals, and collections. l) Prepare and submit reports to management on the status of aging accounts and collection performance. m) Assist in identifying trends in denials or unpaid claims and recommend process improvements to enhance collection efficiency. n) Ensure compliance with healthcare industry regulations, payer-specific guidelines, and company policies. 4. Career Growth: Senior Accounts Receivable Executive>>Quality Analyst>>Associate Team Manager>>Team Manager>> Sr. Team Manager>>Unit Head as and when we open more branches or as and when other designations evolve. 5. Additional Perks: a) Medical insurance coverage is for self, spouse, and a maximum of 2 children under 25 years of age. This component cannot be reimbursed. b) Accident insurance worth 5 x annual CTC of the employee. c) Eligible for complimentary canteen facilities. Cost of this facility is NOT shown under CTC for office-based employees. d) Cab facility: - (i) Every office-based employee is eligible for company transportation. (ii) Rs. 2000 shall be reimbursed to male employees who opt for their own transportation when working from office. (iii) Female employees with their own car or female employees whose spouse is also working with us and have their own vehicle only can opt for own transportation and will be eligible for Rs. 2000 as transport reimbursement. (iv) Cost of this facility is NOT shown under CTC for office-based employees. 6. Medical Billing FAQs: Please click on this link to access medical billing FAQs. https://www.scribeemr.in/faqsfor-medical-billing-professionals/ How to apply: Apply through “careers” page of our website https://www.scribeemr.in/ NOTES: Please visit the following website to know more about us https://www.scribeemr.in/ If you still have any questions, please write to medical.billing@scribeemr.com

Job Description Job Description: Responsible formanaging the entire billing cycle for both inpatient and outpatient services, including data entry, medical coding, claim submission, and follow-up on payments. Qualifications: Any Bachelor's Degree, Generate and manage accurate invoices for IP services Resolve discrepancies in billing and manage client inquiries Coordinate with the IP & OP department to ensure accurate tracking of billable activities Minimum of 2 years of experience in Hospital Billing Excellent communication and patient care skills Apply now to become a vital part of our Billing team!

You will play a crucial role in our team as a Pharmacy Billing Specialist at Meteorroids, a company specializing in Pharmacy Billing, Medical Billing, and Institutional Billing. Your primary responsibility will be managing the end-to-end billing cycle, ensuring compliance with healthcare regulations, and meeting insurance requirements. Your attention to detail and experience in infusion services will be essential in maximizing our revenue and supporting operational efficiency. Your key responsibilities will include handling Prior Authorizations, managing Ordering & Inventory, providing Infusion Administration Support, overseeing Billing & Collections, and contributing to Accounting & Financial Reporting. Your proven experience in pharmacy billing, particularly with infusion therapy, will be a valuable asset in this role. To excel in this position, you should have a strong familiarity with medical insurance processes, claim submission, and denial management. A solid understanding of medical terminology and HCPCS/CPT codes is essential, along with proficiency in pharmacy billing software and EMR/EHR systems. Your excellent organizational skills, attention to detail, and ability to work independently and collaborate with cross-functional teams will contribute to your success in this role.,

As a Credentialing Specialist, you will play a crucial role in our healthcare operations team by managing end-to-end credentialing and re-credentialing processes. Your primary responsibility will be ensuring the efficiency of the revenue cycle by handling tasks such as maintaining accurate provider data, tracking expirables, and collaborating with billing teams. You will be responsible for interacting with insurance companies and regulatory bodies to follow up on application statuses and resolve any issues that may arise. Additionally, you will work closely with the RCM team to support eligibility, pre-authorization, and claim submission tasks. Your attention to detail and organizational skills will be essential in maintaining timely renewals and accurate credentialing status. To succeed in this role, you should have a minimum of 2 years of experience in provider credentialing and RCM processes. Familiarity with the U.S. healthcare system, medical billing cycles, and denial management is also required. Excellent communication skills, both verbal and written, are essential, along with the ability to multitask, prioritize, and manage time effectively. Proficiency in MS Office and credentialing software/tools is a must. This is a full-time position with night shift hours (06:30 PM - 03:30 AM) from Monday to Friday. The work location is in person. In addition to competitive compensation, benefits such as leave encashment, paid time off, and Provident Fund are also provided. If you are a highly organized and detail-oriented individual with a passion for healthcare operations, we would love to have you join our team as a Credentialing Specialist.,

Job Description We are seeking for skilled and dedicated AR Caller to join our esteemed healthcare team @ PUNE. You will be responsible for making calls to insurance companies to follow-up on pending claims If you have a deep understanding of end-to-end US Healthcare billing insurance industry, possess excellent communication skills with logical reasoning abilities and have AR Calling experience between 1 and 2 years, we are looking forward for your application About Us: Acrev Solutions is a leading Healthcare billing organization committed to providing exceptional RCM services. Our team of dedicated professionals works tirelessly to ensure a seamless billing process, and we are now looking for more experienced AR Callers to further strengthen our revenue cycle management operations. Job Requirements & Responsibilities- To be considered for this position, applicants need to meet the following qualification criteria: Excellent verbal and written communication skills (English) to interact effectively with patients, insurance companies, and internal teams Work in fixed continuous night shifts (US Shifts) Fast learner with the ability to collaborate effectively with team members and supervisors, adapt well to different situations for meeting operational goals Should be able to work on MS office Excel & Word Any Graduate/Undergraduate Thorough understanding of insurance verification, claim submission, AR Follow-up and denials management Initiate timely and accurate follow-ups with insurance companies Collaborate with our billing team to ensure accurate and compliant claim documentation and submission Maintain detailed records of all interactions, follow-ups, and billing activities, and generate reports to monitor performance and trends Familiarity with CPT, ICD-10 codes, and HCPCS Level II codes Proficiency in billing software and EHRs (Preferred) Strong problem-solving abilities Ability to multitask, prioritize work, and meet deadlines in a dynamic and fast-paced environment Attention to detail to ensure accurate claim handling Collaborative mindset to work effectively with other team members and departments Education: Any Graduate/Undergraduate Ability to commute self to Hinjewadi, Phase2; Pune, Maharashtra Shifts: Fixed US Night Shift Job Types: Full-time, Experienced How to Apply: Email your resume to hiring@acrevsolutions.com,

o Leadership & Team Management: o Supervise and guide a team of RCM specialists to ensure smooth workflow and operational efficiency. o Set performance benchmarks, monitor key metrics, and provide coaching and training to enhance team productivity. o Conduct regular team meetings to address challenges, discuss process improvements, and ensure adherence to policies. Revenue Cycle Operations & Optimization: o Oversee claim submissions, payment posting, denial management, and accounts receivable follow-ups. o Ensure timely resolution of claim denials and rejections to maximize reimbursement. o Implement best practices to enhance revenue collection and minimize outstanding balances. o Collaborate with coding and billing teams to ensure accurate claim submissions. Denial Management & Accounts Receivable (AR) Resolution: o Identify and analyse claim denial trends, working with internal teams to reduce future occurrences. o Develop and implement effective appeal strategies for denied claims. o Monitor aging reports and work on strategies to reduce AR days and improve cash flow. Compliance & Regulatory Adherence: o Ensure compliance with healthcare regulations, payer policies, and industry standards (HIPAA, Medicare, Medicaid, etc.). o Stay updated on changes in reimbursement policies, coding updates, and regulatory requirements. o Implement internal audit processes to maintain billing accuracy and compliance. Experience: Minimum 2+ years required in RCM Team lead Location: Pune Salary depends on the Interview HR Chanchal: 9251688424

Greetings from Savista!!! We are hiring experienced AR callers for Dental AR. Roles & Responsibilities: Calling Insurance companies on behalf of dentists/dental clinics and following up on outstanding accounts receivable. Prioritize the pending claims for calling from the aging bucket as per the strategy defined. Analyze and execute corrective actions to the claims company (payers) for payment of outstanding claims. Review claims as per status from insurance and take appropriate next action defined by the client SOPs. Review provider claims that have not been billed, in process, pending additional information, paid, and /or denied by Insurance companies. Abide with laws governing process and applicable rules for confidentiality and HIPAA compliance. Escalate difficult collection situations to management on time. Meeting daily/weekly and monthly quality and production targets set for an individual. The AR is responsible for the daily submission of the completed dental appointments for the dental clinic. They check for the appropriate X-ray, Narrative, and Perio chart that needs to be attached to the claim basis for the services being billed . Calling Insurance companies on behalf of dentists/dental clinics to request the EOBs required to bill the secondary/tertiary claim. Cross-reference medical records and billing information to verify accuracy They ensure that eligibility is verified for the payors before billing the claims to the insurance. Required Candidate profile: Minimum 1 years of work experience in accounts receivables with relevant experience in Dental AR. Basic knowledge of payment posting concepts; how to post adjustments, credits etc. Basic knowledge claim edits and clearing house rejection resolution. Good Typing speed and keyboard skills Good mathematical knowledge of basic concepts such as how to calculate %. Good reasoning and analytical skills Team player Data analysis skills Good Root Cause Analysis capabilities Excel and MS Office skills Excellent Vocal Communication Adaptability to work in different shifts, teams, and roles. Dental Experience is Mandatory. Interested candidates please share resume to ta.chennai@savistarcm.com or reach us at 8448999198/8448999197. Regards, TA- Team