Digiclarity Global Solutions

Greetings from Digiclarity!!! We have immediate job opening for AR Callers / Payment posting & Statements in Medical billing US Healthcare Industry. Experience: 1 - 3Years Salary: Best in the industry Job Location: Perungudi, Chennai Benefits: Two Way Cab provided (Night shift) Dinner(Night shift) Job Description Expertise in the medical billing domain. Calling on the claim allocated and check the status Calling needs to be placed on the no Response / aged claims & update the claim status. Record the actions and post the notes on the PMS Should have good exposure to Denial Management Make corrections to the claim based on inputs from the insurance company Should have experience in End to End AR process Troubleshooting Calling & fixing the accounts which we receive from client/Practice Managers as an escalation. Interested candidates, Kindly share your resume to recruitment@digiclarity.in / 9962106814/9789021699 Regards, HR Team

DIGICLARITY GLOBAL SOLUTIONS PRIVATE LIMITED is looking for Team Lead to join our dynamic team and embark on a rewarding career journey. A Team Lead is a professional who is responsible for leading, guiding, and supervising a team of employees to achieve specific goals and objectives. Some of the key responsibilities of a Team Lead include : 1. Providing direction, guidance, and support to team members to help them achieve their individual and team goals. 2. Managing team schedules, delegating tasks, and ensuring that deadlines are met. 3. Mentoring, coaching, and providing feedback to team members to help them grow and develop their skills. 4. Identifying and resolving conflicts and obstacles that may impact team performance. 5. Ensuring that team members have the necessary resources and support to perform their job effectively. The ideal candidate for this role should have strong leadership, communication, and interpersonal skills.

DIGICLARITY GLOBAL SOLUTIONS PRIVATE LIMITED is looking for HR Executive to join our dynamic team and embark on a rewarding career journey. Identifying manpower requirements, taking them up to the HR Head for approval Creating job descriptions for required manpower, advertising them to get best candidates and handling the employment process Creating and managing schedules, meetings, interviews, and other HR activities Reviewing CVs, shortlisting candidates and assisting in the recruitment process Liasioning with external recruitment agencies for closing positions on time Handling the orientation of new employees Conducting training sessions for old and new employees of the organization Ensuring that the employees are satisfied with their role in the organisation, the work environment Handling performance management procedure and appraisals is a key task in hr executive job description. Maintaining records, attendance and data of each employee and providing them to the management team when required Conducting exit interviews with outgoing employees. Handling employee grievances, if any and updating the employees with policies, compliances, and regulations Overseeing safety and health of the employees Handling the orientation of new employees is one of the key points that should be included in all hr executive job description Conducting SWAT analysis of each employee and counselling them on the areas that need improvement Handling and managing data/records of each employee of the organization.

DIGICLARITY GLOBAL SOLUTIONS PRIVATE LIMITED is looking for AR Caller to join our dynamic team and embark on a rewarding career journey. Record after - call actions and perform post call analysis for the claim follow - upAssess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contactProvide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the callPerform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpaymentsThe ideal candidate for an AR Caller position should have strong communication and interpersonal skills.

DIGICLARITY GLOBAL SOLUTIONS PRIVATE LIMITED is looking for SME to join our dynamic team and embark on a rewarding career journey. Provide subject matter expertise in a specific area. Conduct research and analysis to support project development. Collaborate with cross - functional teams to provide expert guidance. Develop and deliver training and educational materials. Stay updated with advancements in the subject area. Prepare and present reports on subject matter activities and findings. Provide recommendations for improving processes and strategies.

Dept: Medical Billing Role: Payment Poster Location: Chennai

Greetings from Digiclarity!!! We have immediate job opening for AR Callers / AR Analyst in Medical billing US Healthcare Industry. Experience: 1 - 3Years Salary: Best in the industry Job Location: Perungudi, Chennai Benefits: Two Way Cab provided (Night shift) Dinner(Night shift) Job Description Expertise in the medical billing domain. Calling on the claim allocated and check the status Calling needs to be placed on the no Response / aged claims & update the claim status. Record the actions and post the notes on the PMS Should have good exposure to Denial Management Make corrections to the claim based on inputs from the insurance company Should have experience in End to End AR process Troubleshooting Calling & fixing the accounts which we receive from client/Practice Managers as an escalation. Interested candidates, Kindly share your resume to recruitment@digiclarity.in / 9962106814/9789021699 Regards, HR Team

Greetings from Digiclarity!!! We have immediate job opening for Credentialing in Medical billing US Healthcare Industry. Experience: 3 - 5Years Salary: Best in the industry Job Location: Perungudi, Chennai • Should possess knowledge on the payer-specific credentialing process & capable of completing the enrollment process via online portals & manual applications as per the insurances requirement. • Should be capable of handling the paperwork of EDI/ERA/EFT enrollment for the payers. • Should be able to Navigate through the CAQH portal of the providers & complete CAQH profile attestation for providers. • Should be able to track all re-credentialing due dates of all providers & submit re- credentialing applications to the payers. • Should possess knowledge in updating Group’s Billing/office address with payers as per the client’s requirement. • Should be able to maintain & track the renewal dates of all Provider credentials & escalate them to clients for renewal. Interested candidates, Kindly share your resume to recruitment@digiclarity.in / 8072388578 Regards, HR Team

We have an immediate job opening for Credentialing - Subject Matter Expert in medical billing US Healthcare Industry. Experience: 3 - 5 Years Salary: Best in the industry Job Location: Perungudi, Chennai Job Description: Responsible for leading the credentialing team members in daily tasks, work distribution to Credentialing Specialists of credentialing/re- credentialing applications for providers and facilities. Excellent people management skills. Should have extensive knowledge in CAQH, PECOS Should have extensive knowledge in perusing the payer contracts & find any hidden languages in the contract that can cause a significant hemorrhage of revenue for the practice before sending it to the practice administrators & doctors for signing the contract. Should maintain knowledge in making sure the countersigned & executed contract is loaded in the payers system for the claims to reimburse as per the contract. Should possess the knowledge to track down the current status of the credentialing/re-credentialing applications & be able to escalate it to the next level for expediting the processing of the applications by reaching out to the Network Reps/Supervisors/Network Directors/ Network VP Maintain the Teams workload status reports and communicate provider credentialing status internally. Collects performance data and generates reports for both individual and team performance. Maintain the Teams productivity & quality report & give feedback to the team members on a daily basis & making sure the client essentials are met. Competencies include a high level of discretion to work with confidential information, solid knowledge of credentialing processes, requirements, and NCQA guidelines. Able to follow routine procedures consistently and efficiently, able to work independently, and in conjunction with team members at all levels of the organization. Excellent verbal and written communication skills, detail-oriented, able to resolve problems quickly and effectively, able to motivate team and to delegate effectively. Should be able to handle client escalations pertaining to credentialing & contracting issues & fix them on a timely manner Should maintain a competency chart with all credentialing activities and monitor the performance of the team members on each task & train them on the areas where they need training & improvement Should be able to set quarterly & yearly goals for the team members & help them achieve the same. Should be able to do rate assessments on the payer contracts & negotiate better rates with the network reps & network directors & help clients increase revenue Should involve in weekly & bi-weekly client calls and provide clients with all credentialing updates Should collaborate with the billing team to straighten out any credentialing related denials Knowledge of EDI/ERA/EFT enrollments, Payer portal & payment gateway portal setup is an added advantage.

Greetings from Digiclarity!!! We have immediate job opening for AR Analyst in Medical billing US Healthcare Industry. Experience: 1 - 4 Years Salary: Best in the industry Job Location: Perungudi, Chennai Job Description Expertise in the medical billing domain. Calling on the claim allocated and check the status Calling needs to be placed on the no Response / aged claims & update the claim status. Record the actions and post the notes on the PMS Should have good exposure to Denial Management Make corrections to the claim based on inputs from the insurance company Should have experience in End-to-End AR process Troubleshooting Calling & fixing the accounts which we receive from client/Practice Managers as an escalation. Interested candidates, kindly share your resume to recruitment@digiclarity.in Contact 9789021699/9962106814 Regards, HR Team