6 Coinsurance Jobs

Greetings from Newport Medical Solutions! We are hiring candidate with Payment Posting Experience with immediate Joiner. Relevant experience candidates can share their resume on talentacquisition@newportmed.com or contact HR-8341128389 Job Title: Associate Payment Posting Years of Experience: 2-3 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and upload the EOBs. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes. Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Process Insurance and patient refunds. Should be capable of interpreting and processing the EOBs, research, correct and re-file denied claims. Reconciliation and balancing the payment batches. Operational Duties: Comply to daily productivity and Accuracy standards. Submit daily production reports to team lead. Stay in constant communication with team lead /operations manager Professional & behaviour is expected Receive feedback from QA on errors and follow updated protocol. Additional Comments Preferably having experience with NG/eCW practice manager Contact Info: Shivani:8341128389

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements: 1-3 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills ..Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Ensuring accurate and timely completion of transactions to meet or exceed client SLAs Organizing and completing tasks according to assigned priorities. Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team Resolving complex situations following pre-established guidelines Requirements: 1-3 years of experience in processing claims adjudication and adjustment process Experience of Facets is an added advantage. Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply Good communication (Demonstrate strong reading comprehension and writing skills) Able to work independently, strong analytic skills ..Required schedule availability for this position is Monday-Friday 5.30PM/3.30AM IST (AR SHIFT). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.

Job Title: Associate Payment Posting Years of Experience: 1-2 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and upload the EOBs. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes. Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Process Insurance and patient refunds. Should be capable of interpreting and processing the EOBs, research, correct and re-file denied claims. Reconciliation and balancing the payment batches. Operational Duties: Comply to daily productivity and Accuracy standards. Submit daily production reports to team lead. Stay in constant communication with team lead /operations manager Professional & behavior is expected Receive feedback from QA on errors and follow updated protocol. Additional Comments Having NG application knowledge will be advantage Contact Info: Shivani:8341128389

Role & responsibilities Follow up with the Insurance company to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Insurance Collection Insurance Ageing. Will be involved in various AR reports preparation such as Aging reports, Collection reports etc. Analyzing Claims. Initiate telephone calls to insurance companies requesting status of claim in queue regarding past due invoices and establishment payment arrangements. Meet Quality and productivity standards. Processing the Health insurance claims. Contact insurance companies for further explanation of denials & underpayments. Take appropriate action on claims to guarantee resolution. Auditing the claims Ensure accurate & timely follow up where required. Review denials to determine necessary steps for Claim review Respond to client inquiries via phone and email regarding account or software issues. NOTE : It's available only for Noida/Ghaziabad/Mayur Vihar/New Ashok Nagar/Laxmi Nagar/Vinod Nagar/Ghazipur/Khora candidates. Perks and benefits

Role & responsibilities Follow up with the Insurance company to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Insurance Collection Insurance Ageing. Will be involved in various AR reports preparation such as Aging reports, Collection reports etc. Analyzing Claims. Initiate telephone calls to insurance companies requesting status of claim in queue regarding past due invoices and establishment payment arrangements. Meet Quality and productivity standards. Processing the Health insurance claims. Contact insurance companies for further explanation of denials & underpayments. Take appropriate action on claims to guarantee resolution. Auditing the claims Ensure accurate & timely follow up where required. Review denials to determine necessary steps for Claim review Respond to client inquiries via phone and email regarding account or software issues. NOTE : Fact to Face Interview will be conducted in office premises. It's temporary WFH and is available only for Noida/Ghaziabad/Mayur Vihar/New Ashok Nagar/Laxmi Nagar/Vinod Nagar/Ghazipur/Khora candidates. Perks and benefits