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0.0 - 1.0 years
1 - 4 Lacs
Coimbatore
Work from Office
Role Description Overview: The AR Associate is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: To review emails for any updates Call Insurance carrier, document the notes in software and spreadsheet and take appropriate action Identify issues and escalate the same to the immediate supervisor Update Production logs Understand the client requirements and specifications of the project Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure that the deliverables to the client adhere to the quality standards. Ensure follow up on pending claims. Prepare and Maintain status reports
Posted 1 week ago
3.0 - 8.0 years
1 - 5 Lacs
Hyderabad
Work from Office
Job Title Process Coach Service Line Coding Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To monitor Trainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feeadback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Pathology. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Hyderabad
Posted 1 week ago
3.0 - 8.0 years
1 - 5 Lacs
Chennai
Work from Office
Job Title Process Coach Service Line Coding Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To monitor Trainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feeadback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty Radiology. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Chennai
Posted 1 week ago
3.0 - 8.0 years
2 - 6 Lacs
Chennai
Work from Office
Role Description Overview: The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service Responsibility Areas: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Sound knowledge in Healthcare concept. Should have 6 months to 3 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports
Posted 1 week ago
8.0 - 13.0 years
7 - 11 Lacs
Chennai
Work from Office
TitleAssistant Manager - Delivery Meet all Client Service Level Agreements (deliverables) Ensure the team understands client specific training requirements / needs etc. Analyse performance results of the team and implement process improvements. Determine appropriate staff levels and implement strategies to ensure efficient operations. Work with support departments to ensure staffing strategies are effectively executed. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for the Team Leaders for all their client and team members related needs and create a harmonious work environment. Responsible for day-to-day functional supervision of each team, including productivity of the team, quality %, track absenteeism of the team and encourage team managers to complete performance appraisal of work group(s) in accordance with the organization s policies and applicable legal requirements. Job Specification Minimum of 8 Years of Professional and Relevant Experience in Medical Coding with specialty Radiology. Must have experience in Client and Stakeholder Management. Excellent experience in Team and People Management as well. Must have Coding Certification like CPC/ CCS/ COC/ AHIMA. Any graduate will do. Shift Details General Shift / Day Shift Work Mode WFO Location Chennai
Posted 1 week ago
3.0 - 8.0 years
2 - 4 Lacs
Chennai
Work from Office
Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 week ago
3.0 - 8.0 years
2 - 4 Lacs
Bengaluru
Work from Office
Role Description Overview: Coder is accountable to manage day to day activities of coding the Patients chart & Diagnosis report. Responsibility Areas: Coding or auditing charts, based on requirements Updating/Clearing the production/pending reports To work closely with the team leader. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Strict adherence to the company policies and procedures. Sound knowledge in Medical Coding concept. Should have 6 months to 3 Yrs of Coding Experience. Understand the client requirements and specifications of the project. Meet the productivity targets of clients within the stipulated time (Daily & Monthly) Applying the instructions/updates received from the client during production. Coding or auditing charts, based on requirements. Prepare and Maintain reports
Posted 1 week ago
0.0 - 2.0 years
0 Lacs
Madhapur, Hyderabad, Telangana
On-site
Urgent Hiring: *Bench Sales Recruiter* Role: Bench Sales Recruiter Experience: Minimum 2-3 years Job Location: Madhapur, Hyderabad (Onsite) Employment type: Full time (Monday to Friday) Shift Timings: 7PM - 4AM IST Key Skills: ✅ Proven expertise in IT staffing and recruiting. ✅ Strong experience marketing bench candidates (H1B, OPT, CPT, GC, and US citizens). ✅ Solid understanding of job portals, networking sites, and recruitment platforms. ✅ Excellent negotiation, communication, and relationship management skills. We’re seeking someone passionate about building connections and delivering exceptional talent solutions. Share the resume with hr@sierraconsult.com or DM Apply now or share your referrals! Let’s build something great together. Job Type: Full-time Benefits: Food provided Provident Fund Schedule: Night shift Ability to commute/relocate: Madhapur, Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required) Experience: Bench Sales Recruiter: 2 years (Required) Language: English (Required) Location: Madhapur, Hyderabad, Telangana (Preferred) Shift availability: Night Shift (Required) Work Location: In person
Posted 1 week ago
3.0 - 7.0 years
4 - 8 Lacs
Hyderabad
Work from Office
SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer
Posted 1 week ago
2.0 years
0 Lacs
Hyderabad, Telangana, India
On-site
Summary The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. Specific Knowledge Required Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task Additional Skills Required/Preferred Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time Physical Requirements Requires ability to use a telephone Requires ability to use a computer Show more Show less
Posted 1 week ago
0.0 - 5.0 years
2 - 7 Lacs
Chennai
Work from Office
Hi All interview Started For CODERS offer Relese also Started HCC Coders Certified - 2 year Above + HCC Coders NON Certified - 6 Months + To JOIN WATSAPP GROUP PING TO 9655581000 TO KNOW MORE Updates Location - Chennai only any one willing to relocate to Chennai also can apply ONLY WORK FROM OFFICE Certified and Non Certified NOTICE Period Acceptable Designation - Medical Coder / QA / QC Shift: Day shift Available Timing from 10.30 am to 6.30 pm Monday to Saturday praveen 9655581000 WatsApp only Send Updated Resume , Recent Photo with the Mentioned Details Your Interview Will Be Scheduled Name - Contact Number - Current Company - Experience - Certification - Take home salary - Expected salary - Certification Number - NOTICE PERIOD - Active Bond - Email ID - To JOIN WATSAPP GROUP PING TO 9655581000 Kinldy share this to all friends who in need of jobs in Coding
Posted 1 week ago
0.0 - 3.0 years
0 Lacs
Mumbai, Maharashtra
On-site
Job Overview: We are seeking a detail-oriented and experienced Medical Claims Auditor to join our team. In this role, you will be responsible for conducting audits on medical claims to ensure accuracy, compliance with plan provisions, and adherence to federal and state regulations. Your expertise will help maintain quality assurance within the claims process, reduce errors, and support the financial integrity of our TPA operations. ______________________________________________________________________________________ Key Responsibilities: ● Perform pre-payment and concurrent audits on medical claims for self-funded and level-funded health plans. ● Verify claims for accuracy in coding (ICD-10, CPT, HCPCS) for the application of plan benefits. ● Review plan documents alongside claim codes to determine the proper benefit assignments. ● Collaborate with claims examiners, supervisors, and compliance teams to resolve discrepancies. ● Document audit findings, prepare detailed reports, and present outcomes to internal stakeholders. ● Ensure claims adhere to regulatory guidelines including HIPAA, ERISA, and other applicable federal/state requirements. ● Participate in internal quality assurance initiatives and continuous improvement efforts. ● Maintain confidentiality of sensitive member and provider information. ______________________________________________________________________________________ Required Qualifications: ● 3 years of experience in medical claims auditing, preferably in a US healthcare TPA or insurance environment. ● Strong knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and claims forms (CMS-1500, UB-04). ● Familiarity with healthcare regulations including HIPAA, ERISA, and ACA. ● Proficiency in auditing tools, claim systems, and Microsoft Office Suite. ● Certifications such as CPC, CPMA, or CCS are mandatory. ● Excellent analytical, organizational, and communication skills. ______________________________________________________________________________________ Preferred Tools/Systems Experience: ● Claims adjudication platforms such as Trizetto, VBA, Plexis. ● EMR/EHR platforms and audit management systems. ______________________________________________________________________________________ Job Type: Full-time Pay: ₹700,000.00 - ₹1,000,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Ability to commute/relocate: Mumbai Suburban, Maharashtra: Reliably commute or planning to relocate before starting work (Preferred) Education: Master's (Preferred) Experience: Medical coding: 5 years (Required) Medical Auditing: 3 years (Preferred) License/Certification: Medical Coding Certification (Preferred) Location: Mumbai Suburban, Maharashtra (Preferred) Shift availability: Night Shift (Required) Work Location: In person
Posted 1 week ago
3.0 years
0 Lacs
Malad, Mumbai, Maharashtra
On-site
Job Overview: We are seeking an experienced and detail-oriented Medical Claims Auditor & Processor to join our growing team focused on self-funded and level-funded US healthcare plans . This hybrid role combines responsibilities in claims processing and auditing to ensure accuracy, compliance, and efficiency across our Third Party Administrator (TPA) operations. The ideal candidate will have hands-on experience in medical coding, claims adjudication, and quality assurance, with a strong understanding of US healthcare regulations. Key Responsibilities: Process and audit medical claims for accuracy, eligibility, coding (ICD-10, CPT, HCPCS), and compliance with plan benefits and regulatory standards. Conduct pre-payment and concurrent audits on claims for self-funded and level-funded health plans. Review plan documents alongside claim codes to determine appropriate benefit application. Ensure claims are processed in alignment with federal/state regulations including HIPAA, ERISA, and ACA . Identify and resolve discrepancies through collaboration with providers, examiners, and internal teams. Maintain detailed and accurate documentation of audit findings and processed claims. Respond to inquiries from providers, members, and stakeholders with professionalism and accuracy. Maintain strict confidentiality of all patient and provider information. Contribute to continuous improvement efforts and internal quality assurance programs. Required Qualifications: Minimum 3 years of experience in medical claims auditing and/or processing within a US healthcare TPA or insurance setting. Medical coding certification is mandatory (e.g., CPC, CPMA, CCS, CBCS). In-depth knowledge of medical terminology , coding systems (ICD-10, CPT, HCPCS), and healthcare claims forms ( CMS-1500 , UB-04 ). Familiarity with self-funded and level-funded health plan structures and benefits administration. Strong understanding of HIPAA, ERISA, ACA , and other applicable healthcare regulations. Proficient in Microsoft Office Suite and healthcare claim systems. Preferred Experience With: Claims adjudication platforms : Trizetto, VBA, Plexis Electronic Medical Records (EMR/EHR) and audit management systems Working in fast-paced, compliance-driven environments with high attention to detail Job Type: Full-time Pay: ₹400,000.00 - ₹800,000.00 per year Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift US shift Ability to commute/relocate: Malad, Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Claims Processing: 3 years (Preferred) Medical coding: 3 years (Preferred) License/Certification: Medical Coding Certification (Preferred) Shift availability: Night Shift (Required) Work Location: In person
Posted 1 week ago
3.0 - 6.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Bench Sales Recruiter Location: Perungudi, Chennai (Work from Office) Job Type: Full-Time, Night Shift (PST Hours – 7:00 PM to 5:00 AM IST) Experience: 3 to 6 Years Join Our Growing Bench Sales Team – Chennai (Night Shift) We are looking for a driven and experienced Bench Sales Recruiter to join our US Staffing division. If you have a strong vendor network and a proven record in placing bench consultants, this is your opportunity to work in a fast-paced, growth-focused environment with a performance-driven culture. Key Responsibilities: Market OPT, CPT, H1B, GC, and USC consultants to Prime Vendors and Implementation Partners . Build and maintain relationships with Tier 1 vendors and develop new vendor channels. Proactively search for suitable job requirements using portals like Dice, Monster, CareerBuilder, Net-Temps, JobServe , and LinkedIn . Negotiate rates and ensure timely submission of consultants for open roles. Assist consultants in resume formatting and interview preparation. Track and manage the status of submissions, interviews, and onboarding. Maintain a pipeline of rolled-off consultants and track contract end/start dates. Update and maintain assignment records and internal reports as per company standards. Required Qualifications: Bachelor’s degree or equivalent qualification. 3–6 years of Bench Sales experience in the US IT staffing industry . Established relationships with Prime Vendors and experience in direct submissions. Proficiency with recruiting tools and job portals. Strong communication, negotiation, and follow-up skills. Ability to work independently and within a team in a night shift environment . Why Join Us? Stable onsite role with a reputed US-based staffing firm. Performance-driven incentives and growth opportunities. Collaborative work culture and structured processes. Work with industry experts and expand your professional network. Company Website: www.perfictglobal.com Show more Show less
Posted 1 week ago
3.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
JOB DESCRIPTION: OCT Senior Executive Coding Auditor is responsible for performing an in-depth review of medical records to ensure that the assigned CPT, HCPCS and Modifiers are supported by medical record documentation and procedures are coded as per the standing coding guidelines. Essential Criteria Bachelor of Science Degree Applicant must have current CPC, CCA, CCS, RHIT or RHIA Extensive knowledge with CPT coding, 3+ years recent Major surgical coding or auditing after certification (Musculo, cardio, IVR) Excellent written and verbal skills. Good comprehension of CPT guidelines, use of modifiers and CPT assistant. Experience with Orthopedic surgical coding would be great 3 years’ experience as certified/credentialed coder coding/auditing Desirable Criteria Auditing experience on complex surgery coding. Knowledge in Microsoft outlook/excel/word. Additional And Essential Responsibilities Follow every aspect of SOP without fail Complete received Audits with Quality To achieve Quality and production target Follow project related protocols and instructions Escalate issues, identify trends. Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basis. Check with Manager /TL in case of clarifications All emails from Manager should be answered promptly without fail Ensure compliance of entire team for HIPAA,OIG Show more Show less
Posted 1 week ago
3.0 years
0 Lacs
India
Remote
Job Title: Bench Sales Recruiter Experience: 3 to 5 Years Location: Gachibowli Near AMB /Asian sun city Employment Type: Full-time Shift: Night Shift (US EST/PST) Job Summary: We are seeking a dynamic and experienced Bench Sales Recruiter with 3–5 years of proven experience in marketing bench candidates (H1B, GC, OPT, CPT, EAD, and US Citizens) and placing them with direct clients or through preferred vendors. The ideal candidate must have a strong understanding of the US staffing market and excellent communication and negotiation skills. Key Responsibilities: Market IT consultants (H1B, GC, USC, EAD, OPT/CPT) available on the bench. Work closely with the Sales & Recruitment team to understand resource availability and skills. Develop and maintain relationships with implementation partners, system integrators, and direct clients. Submit consultants to suitable requirements through job portals, vendors, and direct clients. Negotiate rates, interview schedules, and close deals in a timely manner. Maintain and update the database of bench candidates, submissions, and interview schedules. Proactively identify and follow up on opportunities for bench candidates. Required Skills and Qualifications: 3 to 5 years of hands-on experience in US IT Bench Sales. Strong knowledge of job boards such as Dice, Monster, CareerBuilder, Indeed, and LinkedIn. Experience working with various tax terms (W2, C2C, 1099). Ability to negotiate with vendors and consultants. Excellent verbal and written communication skills. Proven track record of successful placements. Experience using CRM or applicant tracking systems (ATS) is a plus. Candidate should have access to database of vendors and prime vendors good hold on with prime vendors Preferred Qualifications: Bachelor's degree or equivalent. Experience working with third-party vendors and direct clients. Existing client/vendor network is a strong plus. Benefits: Competitive salary + incentives Health Insurance (if applicable) Work from home flexibility (if applicable) Growth opportunities in a fast-paced environment Job Type: Full-time Pay: Up to ₹45,000.00 per month Benefits: Provident Fund Schedule: Night shift Supplemental Pay: Commission pay Performance bonus Quarterly bonus Work Location: In person
Posted 1 week ago
7.0 - 10.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Job Title: Operations Manager Location: Perungudi, Chennai (PST Shifts) Experience: 7-10 years (minimum 3–5 years in Managing Operations ) Employment Type: Full-time Company Overview: Perfict Global is a leading provider of IT services and solutions, dedicated to helping businesses leverage technology to achieve their goals. With a focus on innovation and customer satisfaction, we deliver cutting edge solutions tailored to the unique needs of each client. As we continue to grow, we are seeking an experienced Operations Manager to join our team in Chennai. About the Role: We are seeking an experienced and results-driven Operations Manager to lead and oversee our strategic operations across, US IT Recruitment verticals Bench Sales and the Business Development . The ideal candidate will possess a strong background in people management , team building, and client relationship management within the US staffing industry . Key Responsibilities: Lead and manage end-to-end operations for Bench Sales, Direct Client and Tier 1 Business Development, and IT Recruitment teams. Develop and implementstrategic plans to drive growth in client acquisition, consultant deployment, and revenue generation. Mentor and manage cross-functional teams; create performance goals, conduct reviews, and drive employee engagement and retention. Establish and nurture strong relationships with key clients and consultants to ensure ongoing satisfaction and repeat business. Monitor market trends, competition, and industry developments to identify new opportunities for expansion. Partner with internal stakeholders to optimize recruitment processes, delivery capabilities, and client service quality. Report on KPIs and operational performance to senior leadership; recommend data-driven improvements. Required Qualifications: 7–10 years of experience in US IT staffing/recruitment, with a minimum of 3–5 years in a people management or leadership role. Proven expertise in managing Bench Sales, BD, and full-cycle IT recruitment teams. Strong understanding of US staffing compliance, immigration policies (H1B, CPT, OPT, etc.), and contract types (W2, C2C, 1099). Demonstrated success in building client relationships and expanding business portfolios. Excellent communication, negotiation, and leadership skills. Preferred Qualifications: Prior experience in setting up or scaling a recruitment delivery center or offshore team. Exposure to applicant tracking systems (ATS) and CRM platforms. MBA or equivalent degree is a plus. Company Website: www@perfictglobal.com Show more Show less
Posted 1 week ago
2.0 years
0 Lacs
Hyderābād
On-site
Job Description : SUMMARY: The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement. SPECIFIC KNOWLEDGE REQUIRED: Required certification in one of the following : CPC, RHIA, RHIT Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient. Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process. Knowledge of computers and Windows-driven software Excellent command of written and spoken English Cooperative work attitude toward and with co-employees, management, patients, outside contacts Ability to promote favourable company image with patients, insurance companies, and public. Ability to solve problems associated with assigned task ADDITIONAL SKILLS REQUIRED/PREFERRED: Obtain operative reports Obtain implant invoices, implant logs, and pathology reports as applicable Supports the importance of accurate, complete and consistent coding practices to produce quality healthcare data. Adheres to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI. Uses skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes. Assigns and reports the codes that are clearly supported by documentation in the health record. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. Strives for the optimal payment to which the facility is legally entitled. Assists and educates physicians and other clinicians by advocating proper documentation practices. Maintains and continually enhances coding skills. Coders need to be aware of changes in codes, guidelines, and regulations. They are required to maintain 90% or above coding accuracy average. Codes a minimum of 50 cases on a daily basis. Assures accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction. Codes all third party carriers and self- pay cases equitably for patient services and supplies provided. Adheres to OIG guidelines which include: Diagnosis coding must be accurate and carried to the highest level of specificity. Claim forms will not be altered to obtain a higher amount. All coding will reflect accurately the services provided and cases reviewed for the possibility of “unbundling”, “up-coding” or down coding.” Coders may be involved in denials of claims for coding issues. Some centers require a code disagree form be completed. Coders are required to provide their supporting documentation to be presented to the center for approval. (Surg Centers call this a coding variance) Ensures the coding site specifics are updated as needed for each center assigned. Identifies and tracks all cases that are not able to be billed due to lacking information such as operative notes, path reports, supply information etc. On a weekly/daily basis provide a documented request to the center requesting the information needed. Responsible for properly performing month end tasks within the established timeframe including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. Cases will be reviewed as part of an in-house audit process to ensure quality and accuracy of claims. Corrections may be needed after review. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time PHYSICAL REQUIREMENTS: Requires ability to use a telephone Requires ability to use a computer Department Development Open Positions 1 Skills Required Surgery Coding Location Hyderabad, Telangana, India Years Of Exp 3 to 7 years Posted On : 05-Jun-2025
Posted 1 week ago
1.0 years
0 - 0 Lacs
Mohali
On-site
Job Title: US IT Recruiter Location: Mohali Work Hours: Night Shift (US Time Zone) Experience: 1-3 Years Employment Type: Full-Time Job Summary: We are seeking a results-driven and experienced US IT Recruiter to join our talent acquisition team. The ideal candidate will be responsible for sourcing, screening, and placing IT professionals across various domains for our US-based clients. You should be familiar with the US job market, tax terms, and visa types. Key Responsibilities: Source candidates using various platforms including job boards (Dice, Monster, CareerBuilder), social media, LinkedIn, and internal databases. Screen resumes and interview candidates to assess technical skills, experience, and fit. Coordinate with hiring managers to understand job requirements and client expectations. Negotiate rates and terms with candidates (W2, C2C, 1099). Submit qualified profiles to clients and follow up on interview feedback. Maintain and update candidate records in the ATS (Applicant Tracking System). Build and maintain strong relationships with candidates and consultants. Meet daily/weekly targets for candidate submissions, interviews, and closures. Requirements: 1-3 years of experience as a US IT Recruiter or in a similar role. Strong knowledge of US tax terms (W2, C2C, 1099) and work authorizations (US Citizen, GC, H1B, OPT, CPT, etc.). Experience working with VMS portals and direct clients is a plus. Excellent communication and negotiation skills. Ability to work independently in a fast-paced environment. Bachelor’s degree or equivalent education preferred. Preferred Skills: Familiarity with technical job roles like Java Developer, .NET Developer, DevOps, Data Engineer, etc. Experience using ATS and CRM tools. Prior experience working with staffing agencies or consulting firms. Benefits: Competitive salary + incentives Opportunity to work with reputed US clients Professional growth and training opportunities Job Type: Full-time Pay: ₹11,724.69 - ₹35,644.93 per month Schedule: Night shift Work Location: In person
Posted 1 week ago
2.0 years
2 - 4 Lacs
Mohali
On-site
Roles and Responsibilities: 1. This position will oversee coding activities to ensure customer service and quality expectations are met. 2. Primary contact for coding questions relating to Client Services and Operations. Review reports to identify specific issues, investigate and correct them as per the coding guidelines, and implement solutions. 3. Identify issues and proactively plan on the resolution for clients and accounts. 4. Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies. Review and report on process updates and team metrics with the management team. 5. Review provider claims that have not been paid by insurance companies. 6. Handling patients' billing queries and updating their account information. Skills required: 1. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on denials. 2. Understand the Revenue Cycle Management of US Health Care. 3. Good Knowledge of Denials and immediate action to resolve them. 4. In-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT & Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology and anatomy and 5. physiology. 6. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Role: Medical Biller / Coder Industry Type: Medical Services / Hospital (Diagnostics) Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate Key Skills: E/M, HCPCS, Medical Coding Job Types: Full-time, Permanent Schedule: Day shift Morning shift Rotational shift Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Coding: 2 years (Required) total work: 3 years (Required) License/Certification: AAPC (Required)
Posted 1 week ago
3.0 - 6.0 years
0 Lacs
India
On-site
Job Title: Senior AR Caller Company: Amromed Location: Perambur, Chennai Shift: Night Shift Job Type: Full-Time Job Description: Amromed is seeking an experienced Senior AR Caller to join our team in Perambur, Chennai . This role involves handling accounts receivable (AR) for the US healthcare industry, following up on claims, and ensuring timely reimbursements from insurance providers. Key Responsibilities: Follow up with insurance companies to resolve unpaid or denied claims . Handle denials, appeals, and reconsiderations efficiently. Analyze EOBs (Explanation of Benefits) and take necessary actions for claim resolution. Identify and escalate claim rejections, underpayments, and revenue leakage . Ensure compliance with HIPAA regulations and maintain accurate documentation . Work closely with the billing and coding teams to prevent claim errors. Meet daily/weekly targets for collections and follow-ups. Mentor and guide junior AR callers as needed. Required Skills & Qualifications: 3 to 6 years of experience in AR calling / RCM process for US healthcare. Strong understanding of insurance guidelines, CPT & ICD codes, and EOBs . Expertise in denial management, claim follow-ups, and resolution strategies . Excellent communication and negotiation skills . Ability to handle high call volumes and work in a fast-paced environment . Proficiency in using RCM software and claim processing systems . Willingness to work night shifts . Preferred Qualifications: Experience in handling high-value claims and complex denials . Strong knowledge of HIPAA compliance and medical billing procedures. Leadership skills with the ability to train and mentor junior team members . Why Join Amromed? Competitive salary and performance-based incentives . Growth opportunities within the US healthcare RCM industry . Supportive work culture with learning and development programs . Job Type: Full-time Pay: From ₹20,000.00 per month Benefits: Health insurance Leave encashment Life insurance Paid time off Provident Fund Schedule: Night shift Supplemental Pay: Yearly bonus Shift availability: Night Shift (Required) Work Location: In person
Posted 1 week ago
0 years
0 - 0 Lacs
India
On-site
Claim Processing: Preparing, submitting, and tracking patient insurance claims. Insurance Verification: Verifying patient eligibility, coverage details, and pre-authorization requirements. Coding: Assigning appropriate medical codes (ICD-10, CPT) to ensure accurate billing and reimbursement. Billing: Preparing and submitting accurate medical bills to insurance companies. Compliance: Ensuring adherence to insurance regulations, policies, and procedures. Patient Interaction: Communicating with patients about their insurance coverage, claims status, and payment arrangements. Record Keeping: Maintaining accurate records of patient insurance information and claims. Data Analysis: Analyzing insurance data to identify trends, discrepancies, and areas for improvement. Problem Solving: Resolving insurance-related issues and discrepancies. Collaboration: Working with internal teams (medical billing, coding, compliance) and external stakeholders (insurance companies, patients). Job Type: Full-time Pay: ₹15,000.00 - ₹18,000.00 per month Benefits: Health insurance Provident Fund Schedule: Day shift Supplemental Pay: Yearly bonus Work Location: In person Speak with the employer +91 8610300054
Posted 1 week ago
1.0 years
0 - 0 Lacs
Noida
On-site
We are hiring for dynamic candidates for US shift with a strong corporate ethics who can showcase the business skills to our US clients: Fresher to 1 year experience candidate can apply for this role with a strong communication. Skills Required: Should have strong communication skills Confident who can represent himself/herself to the US work culture Quick learner adapt things easily Foster to work on different job boards like, Indeed, Linkedin, Dice, Monster and career Builder etc. In Traning give us 100 percent of attitude towards hardworking candidate. Should have a basic knowledge of IT Staffing company when gives interview. The work and Roles & Responsibilities has to be done: Candidate Marketing Market Bench Consultants (H1B, H4-EAD, GC, OPT, CPT, USC) to prime vendors, implementation partners, and direct clients for contract roles. Showcase candidates' skills, expertise, and certifications to potential clients by tailoring resumes and preparing profiles. Develop and execute strategies to identify suitable job openings for bench candidates through job boards, LinkedIn, and vendor databases. Vendor Relationship Management Build and maintain relationships with prime vendors, MSPs (Managed Service Providers), and VMS (Vendor Management Systems). Negotiate rates and contract terms with vendors to secure placements for bench candidates. Act as the primary point of contact for vendors to address queries and resolve concerns regarding bench candidates. Job Posting and Networking Post candidate profiles on job boards (Dice, Monster, CareerBuilder) and relevant social media platforms for visibility. Leverage LinkedIn and other professional networks to identify new opportunities and connect with hiring managers. Join industry-specific groups and forums to expand the network of potential clients and vendors. Communication and Coordination Conduct regular follow-ups with consultants to update them on marketing progress and gather their feedback. Communicate candidate availability and skillsets effectively to potential vendors and clients. Work closely with recruiters and account managers to align marketing efforts with open job requirements. Pipeline and Metrics Management Maintain an updated database of available bench candidates, their skills, and visa statuses. Track and analyze key performance indicators, including submissions, interviews, and placements. Prepare and present regular reports on bench sales activities to management. Compliance and Documentation Verify candidate documents, including visa status, certifications, and employment eligibility. Ensure compliance with all federal and state employment regulations and company policies. Handle paperwork related to contracts, agreements, and onboarding processes. Consultant Engagement and Retention Build strong relationships with bench consultants to understand their career goals and preferences. Provide guidance on interview preparation, resume updates, and professional development. Keep consultants engaged by sharing market trends, job opportunities, and skill enhancement suggestions. Market Research and Strategy Stay updated on industry trends, skill demand, and market rates to align marketing efforts effectively. Identify high-demand technologies and proactively acquire consultants in those domains. Analyze competitor activities to enhance bench sales strategies and improve placement success rates. Key Skills Required Strong understanding of US IT staffing processes, work authorization types (H1B, OPT, CPT, GC, USC), and tax terms (W2, C2C, 1099). Proficiency in job boards (Dice, Monster, CareerBuilder) and LinkedIn for sourcing and networking. Excellent communication, negotiation, and interpersonal skills. Ability to multitask, prioritize, and meet deadlines in a fast-paced environment. Job Types: Full-time, Permanent, Fresher and 6 months experienced Pay: ₹18,987.06 - ₹25,814.22 per month Benefits: Health insurance Provident Fund Schedule: Monday to Friday Night shift US Shift Supplemental Pay: Yearly bonus Incentives Language: English (Required) Work Location: In person Job Types: Full-time, Permanent Pay: ₹18,000.00 - ₹25,000.00 per month Benefits: Food provided Health insurance Provident Fund Schedule: Monday to Friday Night shift US shift Supplemental Pay: Yearly bonus Work Location: In person
Posted 1 week ago
0.0 - 3.0 years
0 Lacs
Mohali, Punjab
On-site
Roles and Responsibilities: 1. This position will oversee coding activities to ensure customer service and quality expectations are met. 2. Primary contact for coding questions relating to Client Services and Operations. Review reports to identify specific issues, investigate and correct them as per the coding guidelines, and implement solutions. 3. Identify issues and proactively plan on the resolution for clients and accounts. 4. Maintain compliance in the process with HIPAA and ISO standards and adhere to company policies. Review and report on process updates and team metrics with the management team. 5. Review provider claims that have not been paid by insurance companies. 6. Handling patients' billing queries and updating their account information. Skills required: 1. Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on denials. 2. Understand the Revenue Cycle Management of US Health Care. 3. Good Knowledge of Denials and immediate action to resolve them. 4. In-depth technical knowledge of ICD-9-CM, ICD-10-CM, CPT & Revenue Codes coding conventions, AP-DRG, APR-DRG, MS-DRG and APC assignment, present on admission guidelines, secondary diagnoses classification for MCCs/CCs, MDCs, E/M leveling, Medical terminology and anatomy and 5. physiology. 6. Strong analytical skills, including the ability to manage multiple tasks and create solutions from available information. Role: Medical Biller / Coder Industry Type: Medical Services / Hospital (Diagnostics) Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate Key Skills: E/M, HCPCS, Medical Coding Job Types: Full-time, Permanent Schedule: Day shift Morning shift Rotational shift Ability to commute/relocate: Mohali, Punjab: Reliably commute or planning to relocate before starting work (Preferred) Experience: Medical Coding: 2 years (Required) total work: 3 years (Required) License/Certification: AAPC (Required)
Posted 1 week ago
2.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Job Title: E/M IP or OP Medical Coder 📍 Location: Noida, India 💼 Experience Required: 2+ Years 🔹 Positions Available: Executive & Senior Executive Job Summary: We are looking for a skilled and detail-oriented Medical Coder specializing in Evaluation & Management (E/M), Inpatient (IP), or Outpatient (OP) coding . The ideal candidate will have at least two years of experience in accurately reviewing, analyzing, and assigning medical codes based on clinical documentation and regulatory guidelines. Key Responsibilities: ✅ Medical Coding & Compliance: Assign appropriate ICD-10, CPT, and HCPCS codes while ensuring compliance with industry regulations. ✅ Chart Reviews: Analyze medical records to determine accurate coding for E/M services, inpatient procedures, or outpatient visits . ✅ Billing & Documentation: Collaborate with healthcare providers to clarify documentation and optimize reimbursement processes. ✅ Auditing & Quality Assurance: Conduct regular audits to maintain coding accuracy and minimize denials or coding errors. ✅ Regulatory Updates: Stay up-to-date with coding guidelines, payer requirements, and medical coding changes . Qualifications & Skills: 🔹 Education: Certification in CPC, CCS, RHIA, or RHIT preferred. 🔹 Experience: Minimum 2 years in E/M, inpatient, or outpatient coding . 🔹 Technical Skills: Proficiency in medical coding software & electronic health records (EHR/EMR) . 🔹 Analytical Ability: Strong attention to detail with problem-solving skills . 🔹 Communication: Excellent verbal & written communication to collaborate with providers and billing teams. Show more Show less
Posted 1 week ago
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In recent years, the demand for professionals with skills in CPT (Computer Proficiency Test) has been steadily increasing in India. CPT jobs are diverse and can range from entry-level positions to more advanced roles in various industries. If you are considering a career in CPT, this article will provide you with valuable insights into the job market in India.
Here are 5 major cities in India actively hiring for CPT roles: 1. Bangalore 2. Hyderabad 3. Pune 4. Chennai 5. Mumbai
The average salary range for CPT professionals in India varies based on experience level: - Entry-level: INR 2-4 lakhs per annum - Mid-level: INR 6-10 lakhs per annum - Experienced: INR 12-20 lakhs per annum
A typical career path in the CPT field may progress as follows: - Junior Developer - Senior Developer - Tech Lead
In addition to CPT proficiency, other skills that are often expected or helpful in this field include: - Programming languages such as Python, Java, or C++ - Data analysis and interpretation - Problem-solving skills - Project management
Here are 25 interview questions for CPT roles: - What is CPT and why is it important? (basic) - Can you explain the difference between structured and unstructured data? (medium) - How would you handle missing data in a dataset? (medium) - What is the difference between supervised and unsupervised learning? (medium) - Explain the concept of overfitting in machine learning. (medium) - What is the purpose of normalization in data preprocessing? (medium) - How do you handle outliers in a dataset? (medium) - Can you explain the process of feature selection in machine learning? (medium) - What is the role of cross-validation in model training? (medium) - How would you evaluate the performance of a machine learning model? (medium) - Explain the bias-variance tradeoff. (medium) - What is the curse of dimensionality? (medium) - What is the difference between classification and regression in machine learning? (medium) - How do decision trees work in machine learning? (medium) - What is the purpose of regularization in model training? (medium) - Can you explain the K-nearest neighbors algorithm? (medium) - How do you handle imbalanced classes in a classification problem? (advanced) - Explain the concept of ensemble learning. (advanced) - What is the difference between bagging and boosting in ensemble methods? (advanced) - How would you optimize hyperparameters in a machine learning model? (advanced) - Explain the concept of deep learning and its applications. (advanced) - How do neural networks learn from data? (advanced) - Can you explain the working of a convolutional neural network (CNN)? (advanced) - What is the purpose of dropout in neural network training? (advanced) - How do you assess the performance of a deep learning model? (advanced)
As you explore CPT jobs in India, remember to continuously enhance your skills and knowledge in the field. By preparing thoroughly and applying confidently, you can pave the way for a successful career in CPT. Good luck!
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