Insurance Follow Up Specialist Ambit Global Solution

2.0 years

0 Lacs

Ahmedabad, Gujarat, India

On-site

Company Description Ambit Global Solution LLP is a leading provider of medical and dental billing and revenue cycle management services. The company offers comprehensive solutions to healthcare organizations, including hospitals, dental groups, and private practices, aiming to maximize revenue and reduce operating costs. With a team of dedicated professionals, including AAPC-certified coders, Ambit leverages cutting-edge technology and a client-centric approach to deliver efficient and transparent services across various specialties. Job Title: Insurance Follow-Up Specialist – RCM (Revenue Cycle Management) Location: Ahmedabad Experience Required: 2+ years in RCM; Surgery insurance follow-up experience is a plus Work Hours: Full-time | Night Shift (US Time Zone – EST/PST/CST) Job Summary: We are looking for a proactive and detail-oriented Insurance Follow-Up Specialist to join our RCM team. The specialist will be responsible for tracking and resolving outstanding insurance claims to ensure timely reimbursement. Candidates with prior experience in surgery-related insurance claims will be given preference. Key Responsibilities: Follow up on unpaid or underpaid insurance claims via calls, emails, and payer portals Analyze and resolve denials, rejections, and short payments Take timely action to resubmit, appeal, or escalate claims Accurately document all activities and follow-up actions in the billing system Collaborate with billing, coding, and other RCM team members to ensure claim accuracy Stay up to date with payer guidelines and insurance protocols Focus on reducing A/R days and improving cash flow, especially in surgical cases Requirements: Minimum of 2 years of experience in insurance follow-up in medical billing/RCM Strong understanding of EOBs, denial codes, CPT/ICD codes, and insurance rules Experience with surgery-related claims is highly desirable Familiarity with commercial and government insurance payers Proficient in using EMR and billing platforms (e.g., Athena, Kareo, eClinicalWorks, AdvancedMD) Excellent communication and problem-solving skills Must be comfortable working night shifts aligned with US time zones (EST/PST/CST) Preferred Qualifications: Knowledge of appeals, reconsiderations, and claim adjustment processes Experience in surgical specialties such as orthopedics, ENT, or general surgery Understanding of HIPAA and data security protocols Show more Show less

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AR Analyst ACIDUS MANAGEMENT SOLUTIONS Pvt ltd

1.0 years

0 Lacs

Coimbatore

On-site

Job Summary: We are looking for a motivated and detail-oriented AR Analyst to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a strong understanding of the US healthcare billing process, especially in denial management, and be comfortable working night shifts to align with US time zones. Key Responsibilities: Review and work on denied or delayed insurance claims . Perform follow-ups with payers via calls or portals to resolve outstanding AR. Analyze EOBs, remittance advice, and take necessary action to ensure reimbursement. Re-submit corrected claims and prepare appeals as needed. Maintain accurate documentation of all actions in the billing system. Collaborate with internal teams to escalate and resolve complex issues. Ensure compliance with HIPAA and payer-specific guidelines. Requirements: Bachelor’s degree (required). 1+ years of experience in AR follow-up or denial management in the US healthcare domain. Strong knowledge of RCM processes , especially denial resolution and AR recovery. Familiarity with major insurance carriers including Medicare, Medicaid, and commercial plans. Good communication and analytical skills. Willingness to work night shift to support US clients. Preferred Skills: Experience with medical billing systems (e.g., Epic, eClinicalWorks, Athena). Working knowledge of CPT, ICD-10, and HCPCS codes. Proficiency in MS Excel and reporting tools. Contact : 9566382195 Job Type: Full-time Schedule: Monday to Friday Night shift Work Location: In person Application Deadline: 05/06/2025

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Auditor Radiology Coding Talentgigs

1.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

Years of Experience: 1 year experience as auditor Job Summary: We are seeking a highly analytical and detail-oriented Radiology Coding Auditor to ensure the accuracy, integrity, and compliance of radiology coding practices. This role involves reviewing coded records for correctness, identifying patterns of errors, providing education to coders, and supporting regulatory compliance through internal audits. Key Responsibilities: Conduct internal or external audits of coded radiology records to ensure accuracy of CPT®, ICD-10-CM, MIPS, HCPCS Level II codes, and modifiers. Identify coding errors and trends and prepare detailed audit findings and feedback reports. Provide coder education and feedback based on audit findings to improve accuracy and consistency. Monitor and implement updates related to coding guidelines, payer policies, and regulatory changes (LCDs, NCDs, MIPS). Qualifications: Certified Professional Coder (CPC) Minimum of 1–2 years of radiology auditing experience preferred MIPS Coding is Mandatory. Experience with coding/auditing tools such as 3M, EPIC, eClinicalWorks Prior experience training coders or conducting coder education sessions Show more Show less

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