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1.0 - 2.0 years
1 - 2 Lacs
Hyderabad
Work from Office
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
Posted 12 hours ago
1.0 - 2.0 years
2 - 4 Lacs
Noida
Work from Office
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
Posted 1 day ago
0.0 - 1.0 years
1 - 2 Lacs
Noida
Work from Office
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
Posted 1 day ago
1.0 - 4.0 years
3 - 5 Lacs
Hyderabad
Work from Office
Job Title: Charge Entry Specialist Job Description: We are seeking a detail-oriented Charge Entry Specialist to join our healthcare team. The ideal candidate will be responsible for accurately entering and verifying patient treatment codes, maintaining records, and assisting with billing inquiries. This role is crucial for ensuring the accuracy of medical billing and coding, which directly impacts the financial health of our organization. . Responsibilities: Enter medical treatment codes into billing software accurately. Verify all patient demographic data and insurance information. Review and correct claims that have been denied or rejected due to incorrect coding. Ensure all required documentation is available for billing. Maintain confidentiality of all patient information in accordance with HIPAA guidelines. Resolve discrepancies in billing data. Work closely with the billing team to ensure accurate billing and reduce denials. Stay updated with changes in billing codes and medical terminology. Qualifications: Strong understanding of medical terminology, billing codes, and revenue cycle management. Excellent attention to detail and accuracy. Ability to maintain high levels of accuracy under pressure. Proficiency in using billing software and other relevant tools. Strong communication skills to interact with healthcare providers and insurance companies. Experience in medical billing or a related field is preferred. Education: Graduation mandatory experience matters more! Contact: please share your resume to below Contact HR- Aakshya - 8072294017 HR- Aravind - 7286960006 walk- in Location: Sutherland global Services DivyaSree TechRidge, Block P2, (North Wing) 7th Floor, Manikonda, Hyderabad 500089, Write Name on your top of your Resume - Akshaya / Aravind
Posted 3 weeks ago
1 - 2 years
2 - 4 Lacs
Noida
Work from Office
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
Posted 2 months ago
1 - 5 years
2 - 4 Lacs
Navi Mumbai
Work from Office
Hi Folks, We are hiring Eligibility Verification and Benefits Verification Associates in IKS Health. Job Requirements- Any graduate/post graduates Location- Airoli, Navi Mumbai (WFO Only) Shift type- night shift (Any 9 hrs shift from 5.30 pm to 5.30 am) Salary- based on company standards Need good communication skills Need provider side experience Home pick and drop facility available within Mumbai Role & Responsibilities for EVBV: Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. Responsible for analyzing an account and taking the correct action. Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. Task claims to appropriate teams where a specific department within IKS, or clients assistance is required to resolve them. If you are interested then send your resume to us. Contact Number - 8108789780 (HR Muskan Shaikh) 8879583401 (HR Harshal Mhatre) 9820456406 (HR Arjun Mulangatt) 9076020601 (HR Jyoti )
Posted 3 months ago
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