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2.0 - 6.0 years
0 Lacs
punjab
On-site
As a Medical Biller / Coder, your role involves overseeing coding activities to ensure customer service and quality expectations are met. You will be the primary contact for coding questions related to Client Services and Operations. Your responsibilities include reviewing reports to identify specific issues, investigating and correcting them as per the coding guidelines, and implementing solutions. Additionally, you will need to proactively identify issues and plan for their resolution for clients and accounts. It is crucial to maintain compliance with HIPAA and ISO standards, adhere to company policies, and review and report on process updates and team metrics with the management team. You...
Posted 1 day ago
1.0 - 5.0 years
3 - 5 Lacs
hyderabad
Work from Office
Work with Leading US Healthcare Clients Hiring AR Callers Now! Connect to schedule interview Lakshman - 9553047615 - lakshman.d@jobography.in Ashwini - 7815984541 - ashwini.c@jobography.in Job Description Role Overview We are hiring experienced AR Callers to manage the end-to-end Revenue Cycle Management (RCM) process for US Healthcare accounts, covering the entire workflow from patient registration to payment posting and denial resolution . Responsibilities Handle Physician / Provider side AR calling for claim status, follow-ups, and escalations. Work on denial management , identify root causes, and ensure timely reprocessing / resolution . Review and validate CMS Form 1500 , EOBs , CPT cod...
Posted 2 days ago
0.0 years
0 Lacs
chennai, tamil nadu, india
On-site
R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration. With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the hea...
Posted 2 days ago
1.0 - 4.0 years
0 Lacs
bengaluru, karnataka, india
On-site
Company Size Startup / Small Enterprise Experience Required 1 - 4 years Working Days 5 days/week Office Location Domlur, Bengaluru Role & Responsibilities We're hiring a Benefits Verification Specialist with 14 years of experience in US health insurance eligibility and benefits verification. You'll be part of our operations team, helping verify insurance benefits for patients receiving speciality care in the U.S. This is a full-time, in-office role based in Bangalore, with partial overlap with US hours. Key Responsibilities Perform insurance verification and eligibility checks for commercial and government payers (e.g., Medicare, Medicare Advantage, Medicaid, Managed Medicaid, VA, DoD). Vali...
Posted 3 days ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Job Purpose The Pre-Certification Representative is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies. Duties And Responsibilities Works effectively with insurance companies to obtain pre-certification for services Places calls to various health plans to obtain appropriate precertification prior to the patient`s appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Faxes to pre-certification request form to insurance company Maintains files and security of confidential information utilizing host system to scan an...
Posted 5 days ago
1.0 - 5.0 years
3 - 5 Lacs
hyderabad, chennai, mumbai (all areas)
Work from Office
We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai, Coimbattore Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 1. AR Callers Denial Management (Physician Billing) Locations: Hyderabad | Mumbai | Chennai | Coimbattore Experience: Minimum 1+ Year in AR Calling (Denial Management) Qualification: Intermediate &...
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
karnataka
On-site
As a Health Admin Services Associate at Accenture, your role involves providing support to the clinical team and client team to promote quality member outcomes, optimize member benefits, and ensure effective resource utilization. Your responsibilities include the following: - Supporting procedures to ensure adherence to medical policy and member benefits for providing medically appropriate, high-quality, and cost-effective services. - Conducting pre-review screenings using client-specific telephonic screening tools under the guidance of US licensed health professionals. - Providing support for wellness programs, health management programs, and preventative care opportunities for members. - G...
Posted 1 week ago
1.0 - 4.0 years
2 - 5 Lacs
mumbai, hyderabad, chennai
Work from Office
Exciting Career Opportunities in AR Calling 1. Physician Billing AR Caller Locations: Hyderabad | Chennai | Mumbai Experience: Minimum 1+ Year in AR Calling Qualification: Intermediate & Above Salary: Up to 40,000 Take-Home 2. Hospital Billing AR Caller Locations: Hyderabad | Mumbai | Chennai Experience: Minimum 1+ Year in AR Calling Qualification: Intermediate & Above Salary: Up to 40,000 Take-Home Perks and Benefits 2-Way Cab Facility for Comfortable Commute Lucrative Incentives & Allowances Fast-Growing Healthcare Process Friendly & Supportive Work Environment Career Growth Opportunities Preferred: Immediate Joiners / Up to 15 Days Notice Period Apply Now & Step into a Rewarding AR Callin...
Posted 1 week ago
1.0 - 4.0 years
2 - 5 Lacs
hyderabad, chennai, mumbai (all areas)
Work from Office
Hiring Experienced AR Callers US Healthcare Process Locations: Hyderabad | Mumbai | Chennai (Work from Office) Experience Required: Minimum 1+ Years in AR Calling Salary: Up to 40,000 Take-home Work Location: Hyderabad | Mumbai | Chennai (Work from Office) Qualification: Intermediate & Above Transport: 2-Way Cab Provided Notice Period: Immediate Joiners Preferred Interview Mode: Virtual- walkin Job Highlights (Why Join Us?) Competitive Take-home Salary Up to 40,000 Day & Night Shifts for work-life flexibility 2-Way Cab for comfortable commute Work with a Leading US Healthcare Process Immediate Joiners welcome Key Skills: AR Calling US Healthcare Denial Management Insurance Follow-up Voice Pr...
Posted 2 weeks ago
2.0 - 7.0 years
1 - 4 Lacs
kochi
Work from Office
Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...
Posted 2 weeks ago
2.0 - 7.0 years
1 - 4 Lacs
bengaluru
Work from Office
Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
haryana
On-site
As an AR Caller or Sr. AR Caller specializing in US Healthcare at our office located in Gurgaon on MG Road, you will play a vital role in communicating with insurance companies in the USA to manage outstanding accounts receivables on behalf of doctors and physicians. - Demonstrating a strong grasp of HIPPA regulations, CPT codes, ICD9/10, Appeals, and denial management. - Possessing a minimum of 2 years of experience as an AR Caller with exposure to denial management processes. To excel in this role, you must have: - Excellent English communication skills, both verbal and written. - Proficiency in computer usage. - Strong interpersonal skills. - Ability to work well under pressure. - Quick d...
Posted 2 weeks ago
7.0 - 10.0 years
0 Lacs
pune, maharashtra, india
On-site
Job Summary We are seeking a highly skilled and experienced Business Analyst with 7-10 years of focused experience in the life and health insurance industry, particularly in claims processing. Understanding the key KPIs that drive claims processing is critical. The candidate will play a crucial role in bridging the gap between business needs and IT solutions, contributing to the enhancement of our solution. The ideal candidate will have a strong techno-functional understanding of the insurance product benefits, coverages, claims rules, exclusions and fraud analytics and should know about Product Configuration in the system. Having a comprehensive grasp of Medical Codes ICD, PCS, and CPT code...
Posted 3 weeks ago
2.0 - 6.0 years
0 Lacs
punjab
On-site
As an AR Follow-up and Denials Management Specialist, you will play a crucial role in the revenue cycle of US Healthcare. Your responsibilities will include: - Reviewing provider's claims that have not been paid by insurance companies - Making necessary corrections to the claims based on responses/findings and re-submitting/refiling as required - Documenting all actions taken into the claims billing system - Meeting established performance standards on a daily basis - Improving skills in CPT codes and DX Codes, and making collections with a convincing approach Qualifications required for this role are: - Any Graduate - Good communication skills with a fair command of the English language - E...
Posted 3 weeks ago
0.0 years
0 Lacs
mumbai, maharashtra, india
On-site
Process: .Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.
Posted 1 month ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
Role Overview: You should have a minimum of 1 year of experience in AR follow-up team, denial management, or AR calling. You must possess knowledge of denial actions and be familiar with at least 5 denial codes along with their corresponding actions. If you have experience in denial management, there is a possibility of being considered for assignment to the AR follow-up team. A good understanding of claim forms (HCFA), general medical billing, modifier usage, and CPT codes is essential for this role. Key Responsibilities: - Demonstrate expertise in denial management and AR follow-up tasks - Identify and address denial codes efficiently - Possess knowledge of claim forms, modifier usage, and...
Posted 1 month ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
Role Overview: You have to lead a team and ensure smooth operations in the healthcare sector. Your primary responsibilities will include assisting team members, managing a team, and ensuring adherence to norms. Key Responsibilities: - Assist team members with queries and take ownership of their targets & goals - Manage a team of 10-15 associates - Ensure adherence to attendance, punctuality, reporting, and completion of work Qualification Required: - Minimum 1 year of experience as a Team Leader / Designated Team Leader - At least 5+ years of experience in Adjudication / Adjustments / Provider Maintenance - Strong knowledge of US Healthcare - Sound knowledge of CPT Codes/Diagnosis Codes - Fa...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
Role Overview: As a member of R1 RCM India, you will play a crucial role in transforming the healthcare industry by providing innovative revenue cycle management services. With a commitment to making healthcare simpler and more efficient, you will join a team of over 30,000 employees globally, with a strong presence of 14,000 employees in India. The inclusive culture at R1 RCM ensures that every employee is valued, respected, and appreciated, supported by a robust set of employee benefits and engagement activities. Key Responsibilities: - Identify denial reasons and work towards resolution - Prevent claims from being written off by timely follow-up - Utilize sound knowledge of working on Bil...
Posted 1 month ago
1.0 - 4.0 years
2 - 4 Lacs
hyderabad, chennai, mumbai (all areas)
Work from Office
Exciting Career Opportunity for AR Callers! Are you ready to level up your career in AR Calling (PB & HB) with a growing organization that values your skills and rewards your efforts? Were actively hiring talented AR Callers to join our dynamic team across multiple metro cities! Position: AR Caller (Physician Billing & Hospital Billing) Eligibility: Minimum 1+ year of experience in AR Calling (PB & HB) Qualification: Intermediate & above Preferred: Immediate Joiners who are ready to hit the ground running Locations: Hyderabad Bengaluru Chennai Mumbai Compensation & Benefits: Take Home Salary : Up to 40,000 per month 2-Way Cab Facility Hassle-free commute Attractive Incentives Earn more for y...
Posted 1 month ago
0.0 years
0 Lacs
coimbatore, tamil nadu, india
On-site
.Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.
Posted 1 month ago
2.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
As an experienced Quality Assurance professional with a focus on E/M OP and a variety of medical specialties, your role will involve the following responsibilities: - Demonstrating strong knowledge and experience in E/M OP, including handling specialties such as orthopaedics and dermatology. - Possessing expertise in 1 to 6 & 9 series, along with proficiency in ICD and CPT codes, medical terminology, human Anatomy, and physiology. - Providing feedback and identifying error patterns to ensure quality standards. - Having a good understanding of modifiers and their application in coding. - Maintaining daily production and quality levels as per client requirements. - Utilizing your two years of ...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
goa
On-site
Role Overview: As a Medical Billing Specialist, you will be responsible for preparing and submitting accurate insurance claims, verifying patient eligibility, resolving claim denials, maintaining patient billing records, and ensuring compliance with healthcare regulations and privacy standards. Key Responsibilities: - Prepare and submit accurate insurance claims to various insurers, ensuring all medical billing codes and documentation are correct. - Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted. - Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers an...
Posted 1 month ago
2.0 - 7.0 years
1 - 4 Lacs
kochi, bengaluru
Work from Office
Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...
Posted 1 month ago
3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
Role Overview: In this role as a Medical Coding Auditor specializing in ED & E/M coding, you will review medical charts, accurately assign CPT and ICD-10 codes, ensure compliance, and provide support to billing teams. Your in-depth knowledge of CPT and ICD-10 guidelines, along with high accuracy and timeliness, will be crucial for the success of this position. Collaboration with the team is essential to meet quality standards and drive continuous improvement in coding processes. Your attention to detail and commitment to precision will significantly contribute to the overall efficiency and effectiveness of our coding operations. Key Responsibilities: - Review medical charts and accurately as...
Posted 1 month ago
0.0 years
0 Lacs
mumbai, maharashtra, india
On-site
Surgery & E&M IP/OP preferably Gastroenterology experienced, Surgery with exposure to Gastroenterology, Anesthesia .Retrieve the correct medical record of a patient, review & validate completeness of documentation along with signatures, orders for diagnostic tests etc. . Review and validate and/or assign/modify, providers, Dates of service, CPT codes, Diagnoses and modifiers by following general coding guidelines, payer specifications and client specifications if any. .Adhere to the standard operating procedures and instructions related to the process in coding.
Posted 1 month ago
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