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0.0 - 3.0 years

3 - 15 Lacs

Bengaluru, Karnataka, India

On-site

Preferred Skills, Education, and Experience: Any graduate Good communication skills and fair command of English language Experienced in AR Follow-up and Denials Management Good understanding of the US Healthcare revenue cycle and its intricacies Excellent analytical and comprehension skills Roles and Responsibilities: Review providers claims that have not been paid by the insurance companies Follow-up with Insurance companies to understand the status of the claim - Initiate telephone calls or verify through payer websites or otherwise request the required information from insurance companies. Contact insurance companies for further explanation of denials and underpayments and where needed, p...

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1.0 - 5.0 years

0 Lacs

pune, maharashtra

On-site

The ideal candidate for this position should have experience working as a Team Leader or Designated Team Leader for at least a year. Additionally, they should possess a minimum of 5+ years of experience in Adjudication, Adjustments, or Provider Maintenance within the US Healthcare industry. The candidate must be open to working in any shift provided and should have a strong understanding of US Healthcare practices. It is essential for the candidate to have a comprehensive knowledge of CPT Codes, Diagnosis Codes, and the Authorization Process. They should also be familiar with the pre-adjudication and post-adjudication processes of the Claim Life Cycle. Proficiency in English comprehension is...

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2.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

You should have good knowledge and experience in E/M OP, including handling different specialties such as orthopaedics and dermatology. Your expertise should extend to 1 to 6 & 9 series, proficiency in ICD and CPT codes, strong familiarity with medical terminology, human anatomy, and physiology. It is essential to provide feedback, identify error patterns, and possess good knowledge of modifiers. You will be responsible for maintaining daily production and quality as per client requirements. A minimum of two years of experience in Quality is required, with excellent communication and teamwork skills. This is a work from office position, and you must have at least two years of experience as Q...

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2.0 - 7.0 years

1 - 4 Lacs

Karnataka

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...

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2.0 - 6.0 years

0 Lacs

haryana

On-site

You are invited to join as an AR Caller or Sr. AR Caller specializing in US Healthcare at our office located in Gurgaon on MG Road. With 2 to 4 years of experience in Revenue Cycle Management within the US Medical Billing sector, 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. Your responsibilities will include demonstrating a strong grasp of HIPPA regulations, CPT codes, ICD9/10, Appeals, and denial management. The ideal candidate for this position should possess a minimum of 2 years of experience as an AR Caller, along with exposure to denial management processes. To excel in thi...

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0.0 - 4.0 years

0 Lacs

hisar, haryana

On-site

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services ac...

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2.0 - 7.0 years

1 - 4 Lacs

Kochi

Work from Office

Designation : Medical Coder Full Time Opportunity Job Description : 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 Sci...

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0.0 - 5.0 years

3 - 5 Lacs

Noida

Work from Office

Contact insurance companies in the US to follow up on unpaid or denied medical claims Review patient account information resolve denials or rejections Work on hospital billing claims Analyze denial codes, understand reason for denials Required Candidate profile Document update the system with call outcomes and next steps Ensure adherence to HIPAA guidelines internal quality std Meet daily and weekly targets for call volume resolution Communicate effectively Perks and benefits Perks and Benefits

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2.0 - 6.0 years

0 Lacs

haryana

On-site

You are invited to join our team as an AR Caller or Senior AR Caller in the US Healthcare sector, based in Gurgaon at MG Road with the requirement to work from the office. With a minimum of 2 to 4 years of experience in the field, candidates with an Accounting/Finance background are advised not to apply for this position. Your role will involve a comprehensive understanding of Revenue Cycle Management in US Medical Billing for Providers/Hospitals. Key responsibilities include interacting with insurance companies in the USA on behalf of healthcare professionals to follow up on outstanding accounts receivables. Additionally, you should have a strong grasp of HIPPA, CPT codes, ICD9/10, Appeals,...

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0.0 - 4.0 years

0 Lacs

chennai, tamil nadu

On-site

About R1 R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities Roles & Responsibilities: Identify denial ...

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2.0 - 7.0 years

1 - 4 Lacs

Kerala

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...

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1.0 - 6.0 years

1 - 3 Lacs

Chennai

Work from Office

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai S...

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2.0 - 7.0 years

2 - 4 Lacs

Kolkata

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 3 months ago

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2.0 - 7.0 years

2 - 4 Lacs

Kanpur

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...

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2.0 - 7.0 years

2 - 4 Lacs

Ahmedabad

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 3 months ago

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2.0 - 7.0 years

2 - 4 Lacs

Mumbai

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...

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1.0 - 6.0 years

3 - 5 Lacs

Chennai

Work from Office

Responsibilities: Accurately code physician practitioner services through review of medical record documentation and encounter forms. Assign CPT procedure codes, ICD-10 diagnosis codes, and modifiers based on documentation, government teaching physician documentation requirements and LCD/NCD/NCCI policies. Working knowledge of E/M (Inpatient & Outpatient setting), CPT coding - Medicare 1995/1997 Documentation Guidelines. Convert document into numeric format \ Enter Logs Should be aware of entire (All range of E/M codes) Should have knowledge of minor CPT codes along E/M section with E/M Should know to handle trauma charts as well. Should be aware of all E/M modifiers. Excellence in ICD10-CM ...

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1.0 - 6.0 years

3 - 5 Lacs

Hyderabad, Bengaluru

Work from Office

Review and analyze insurance claims for accurate submission. Follow up with insurance companies via phone calls Resolve denied or unpaid claims Document call details Understand and interpret EOBs, denial codes, and claim adjustments. Required Candidate profile Excellent spoken English Knowledge of medical billing terminology (CPT, ICD-10, modifiers). Familiarity with US healthcare RCM cycle. Strong understanding of denial management and claim reprocessing. Perks and benefits Perks and Benefits

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2 - 6 years

2 - 6 Lacs

Gurugram

Work from Office

Essential Duties and Responsibilities: Must be on current role of team handling for minimum 1.5 years Great knowledge AR/Credit up or end-to-end knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have great verbal and written communication skills, probing skills and denials understanding Open for night shift and WFO No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) . Skill Set: Candidate should be good Healthcare knowledge. C...

Posted 4 months ago

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1 - 6 years

3 - 8 Lacs

Chennai

Work from Office

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our ...

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2.0 - 7.0 years

1 - 4 Lacs

kerala

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 Date not available

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2.0 - 7.0 years

2 - 4 Lacs

kerala

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 Date not available

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