3.0 - 7.0 years

0 Lacs

navi mumbai, all india

On-site

In this role as a RCM / Medical Billing Specialist, you will be responsible for providing Level 1 and Level 2 support for U.S. Healthcare Revenue Cycle Management (RCM) workflows. Your analytical skills and domain expertise will be crucial in identifying and resolving claim discrepancies, logic or mapping issues in EDI 835/837 transactions, and collaborating with clearinghouses. Communication with U.S. clients and maintaining compliance with HIPAA guidelines will also be key aspects of your role. **Key Responsibilities:** - Provide Level 1 and Level 2 support for RCM workflows, including claim discrepancies. - Analyze EDI 835/837 transaction data to identify and resolve logic or mapping issu...

Posted 2 days ago

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Senior Claims Processing Specialist Aegan Technologies Private Limited

3.0 - 7.0 years

0 Lacs

hyderabad, telangana

On-site

You will be responsible for processing healthcare claims by reviewing and adhering to established policies and procedures. This includes verifying patient demographics, insurance information, and medical coding accuracy, as well as ensuring all necessary documentation is submitted with the claims. In cases of claim discrepancies and denials, you will conduct research and resolve the issues effectively. Monitoring clearinghouse rejections and claim edits within the core billing system will also be a key part of your role. Analyzing rejection and edit reports to identify root causes of claim issues, correcting errors, and working with clearinghouse representatives to resolve technical issues a...

Posted 3 months ago

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