1.0 - 5.0 years

0 Lacs

hyderabad, telangana

On-site

As a Realisation Executive at Zoi Hospitals located in Somajiguda, your primary role involves coordinating with billing and TPA teams for claim submissions and updates, reconciling daily collections and deposits with the finance department, escalating delays or discrepancies in collections to the Finance Manager, supporting month-end closing by preparing realisation reports, and ensuring accuracy and compliance in all financial transactions. Key Responsibilities: - Coordinate with billing and TPA teams for claim submissions and updates. - Reconcile daily collections and deposits with the finance department. - Escalate delays or discrepancies in collections to the Finance Manager. - Support m...

Posted 1 month ago

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Need a TPA person for Multi-speciality hospital Medico Hub

0.0 years

0 Lacs

pune, maharashtra, india

On-site

Contact Mr Nishant Chaudhary WhatsApp 91050 24073 Industry & Sector: Healthcare Multi-speciality hospital delivering inpatient and outpatient clinical services, surgical care and allied diagnostics in the Pune (Talegaon) region. This on-site role supports hospital revenue-cycle operations and insurer/TPA relationships to ensure seamless patient admission and claim settlement. Primary job title: TPA Coordinator About The Opportunity We are hiring an experienced TPA Coordinator to join a multi-speciality hospital in Talegaon, Pune (Maharashtra). The role is fully on-site and focuses on managing third-party administrator (TPA) interactions, processing cashless and reimbursement claims, and ensu...

Posted 1 month ago

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Coordinator-Claims Analyst-Repricing and Extended functions EXL

2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

As a Medical Claims Auditor, your role involves verifying that all essential clinical documentation is included to support claim submissions and medical necessity. You will need to identify and resolve inconsistencies, errors, or missing documentation in patient records or claims. It is crucial to prioritize and manage workloads effectively to ensure expedited processing of high-priority cases within defined timelines. Your responsibilities will include collaborating with healthcare providers, coders, and billing staff to obtain or clarify necessary information. Adherence to compliance standards such as HIPAA, CMS, and other regulatory guidelines related to medical record handling and claims...

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Senior Executive Billing PB and HB US Medical Billing ACN Healthcare

1.0 - 3.0 years

3 - 4 Lacs

visakhapatnam

Work from Office

Key Responsibilities: Enter and validate patient, insurance & charge details. Verify or validate CPT, HCPCS & ICD-10 codes. Review superbills and ensure payer-specific compliance. Coordinate with Coding & AR teams for issue resolution. Maintain HIPAA compliance and billing accuracy.

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Accounts Receivable Executive 3Gen Consulting

1.0 - 5.0 years

0 Lacs

pune, maharashtra

On-site

As an AR Caller / Senior AR Caller in the Revenue Cycle department, you are responsible for ensuring that the quality and production standards are met as per expectations. Your primary duties will include calling insurance companies in the US, following up on outstanding accounts receivable, and resolving denials by understanding denial reasons and obtaining resolutions from carriers. You will also be involved in claim submissions through electronic, paper, or direct data entry methods. Key Responsibilities: - Call insurance companies in the US and follow-up on outstanding accounts receivable - Demonstrate knowledge of HIPAA, Insurances and their Plans, Workers Comp, No-Fault - Understand de...

Posted 2 months ago

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