70 Ehr Systems Jobs - Page 3

Job Title: Prior Authorization Team Lead Location: Kondapur, Hyderabad - ONSITE Shift Timing: U.S. Time Zone - Indian night shifts Department: Revenue Cycle / Prior Authorization We appreciate the value of your time as well as ours, so please review the entire job description and apply only if you are interested. At Staffingly, Inc., we are at the forefront of revolutionizing healthcare operations by providing essential services to doctors, laboratories, pharmacies, and other healthcare providers. As a leader in economic Prior Authorization solutions, we tackle the challenges of staff shortages that impact revenue flow and patient care quality. Our mission is to empower healthcare facilities...

You will be responsible for managing accounts receivable for healthcare services using Advanced MD software. Your main duties will include ensuring accurate and timely billing submissions to insurance companies and patients, following up on outstanding claims and denials, and generating reports to analyze billing trends. Collaboration with the billing team to resolve discrepancies and maintain compliance with healthcare regulations will be key. Additionally, you will identify and implement process improvements to streamline billing procedures and communicate effectively with patients, insurance companies, and internal stakeholders regarding billing inquiries. To excel in this role, you shoul...

As a Rejection Specialist Team Manager at Qualifacts, you will be responsible for leading and mentoring a team of rejection specialists to ensure productivity and quality targets are consistently met. You will supervise the team, conduct performance reviews regularly, and implement process improvements to enhance efficiency. Collaboration with other Revenue Cycle Management (RCM) teams, such as Billing, Accounts Receivable (AR), and Denials, will be essential to optimize claim processing efficiency. Your role will also involve overseeing daily rejection reports, addressing rejections promptly to prevent claim denials, and identifying recurring rejection patterns. By working closely with the ...

Required Experience Bachelor's degree in computer science or related field or equivalent relevant experience Strong engineering background, preferred in fields such as Computer Science, Mathematics, Software Engineering, Physics, and Data Science. Proficient in programming languages such as Python, Java, or JavaScript. Familiarity with EHR systems (Epic, Cerner, Meditech), healthcare interoperability standards and national health data sets Familiarity with parallel health care industries such as Pharma, Life Sciences, Population Health, Payer, National Health Systems, or State based health programs 10 years of experience in Engineering, Analytics and Data Science in health care What you will...

You will be responsible for accurate and meticulous medical coding, particularly focusing on CPT, ICD-10-CM, and modifier assignments. Your role will involve ensuring that the coding is precise and compliant with regulations to safeguard revenue, minimize denial rates, and uphold our fundamental values of prioritizing customers, showing respect, fostering learning, and maintaining clarity. Your expertise should include proficiency in medical coding encompassing CPT, ICD-10-CM, Modifiers, and NCCI Edits. Possessing certifications such as CPC (AAPC), CCS, COC, and Specialty Certifications will be advantageous for this role. Familiarity with EHR Systems like Athena One, eClinicalWorks, and Epic...

You will be a highly motivated Healthcare AI Solutions Sales Specialist responsible for leading sales and client engagement for Kore.ai's HealthAssist platform. Your primary focus will involve working with hospitals, clinics, health systems, and insurance providers to understand their operational and engagement challenges. By leveraging intelligent AI-driven solutions, you will aim to enhance care access, reduce costs, and improve patient and employee journeys. Your key responsibilities will include engaging with healthcare executives such as CIOs, CMIOs, COOs, Heads of Patient Access, Revenue Cycle, and Digital Transformation. You will lead discovery sessions to identify client pain points ...

Role & Responsibilities: Accurately post payments and adjustments to patient accounts in a timely manner Reconcile payments with insurance remittances Investigate and resolve discrepancies in payment postings Maintain accurate transaction records for compliance Collaborate with billing and collections teams for account management Support audits and compliance reviews Preferred Candidate Profile: Experience: 1- 2 years in Payment Posting / Medical Billing Strong knowledge of healthcare regulations & compliance standards Experience with EHR systems & healthcare databases Proficiency in Microsoft Excel and office tools Excellent analytical, communication, and attention-to-detail skills Ability ...

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, state reporting, billing, and business intelligence. The company's mission is to be an innovative and trusted technology partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts offers a comprehensive portfolio, including the CareLogic, Credible, and InSync platforms, catering to the entire behavioral health, rehabilitative, and human services market. With a loyal customer base of over 2,500 customers and more than 6 million patients served, Qualifacts has been recognized for having the top-ranked Behavioral Health EHR solutions in the 2022...

You are an experienced and detail-oriented DME Billing & Audit Specialist sought by Unify Healthcare Services to join the Audit & Compliance team. Your expertise in Durable Medical Equipment (DME) billing, strong grasp of documentation compliance, and understanding of Medicare LCD guidelines are vital for ensuring billing accuracy, reducing denials, and maintaining audit readiness. Your responsibilities will include reviewing DME claims for accuracy, ensuring alignment with LCD and NCD policies, identifying documentation deficiencies, and collaborating with billing and intake teams to address issues efficiently. Your role will also involve providing recommendations for enhancing documentatio...

The Medical Receptionist position at DR. HALDARS ORTHOVISION HEALTHCARE is seeking a professional individual to serve as the primary point of contact for patients, ensuring a welcoming and efficient experience at our healthcare facility. In this role, you will be responsible for managing scheduling, information handling, insurance processing, and providing excellent customer service while maintaining accuracy and privacy standards. Key Responsibilities Warmly greet patients and visitors, offering assistance in a friendly and professional manner. Handle all incoming phone calls, including scheduling appointments, responding to inquiries, and directing calls appropriately. Manage appointment s...

The EHR Customer Support Representative position involves providing frontline support to clients in the healthcare industry. The ideal candidate should have a minimum of 1-year experience in a healthcare IT or EHR support role. You will be responsible for troubleshooting software issues, assisting users, and ensuring a positive customer experience. Your key responsibilities will include providing technical support via phone, email, and remote sessions, efficiently resolving EHR-related issues, documenting client interactions and solutions, collaborating with internal teams to escalate complex issues, delivering excellent customer service, and assisting in training clients on EHR features and...

As a member of our healthcare team, you will be responsible for accurately documenting patient history, physical exams, diagnoses, treatment plans, and other relevant information as dictated by the healthcare provider during patient visits. Your key duties will involve entering this data promptly and accurately into Electronic Health Records (EHR), ensuring all documentation complies with medical, legal, and regulatory standards, and maintaining patient confidentiality according to HIPAA guidelines. Additionally, you will assist providers with administrative tasks related to medical documentation, review and update patient charts, and collaborate with other healthcare team members to facilit...

You will be responsible for managing accounts receivable for healthcare services using Advanced MD software. Your duties will include submitting accurate and timely billing to insurance companies and patients, following up on claims and denials, and analyzing billing trends through Advanced MD reports. Working closely with the billing team, you will ensure compliance with healthcare regulations, identify process improvements, and address billing discrepancies. Effective communication with patients, insurance companies, and internal stakeholders is crucial for resolving billing inquiries. To qualify for this role, you should have 1-3 years of experience in insurance denial and calling, prefer...

You are required to be an experienced Cerner FSI (Foreign System Interface) Onshore Lead with 5-9 years of experience, responsible for managing and overseeing interface development and support activities in a healthcare IT setting. Your role will involve collaborating with both onshore and offshore teams, ensuring efficient delivery and compliance with healthcare data exchange standards. Your key responsibilities include leading and managing onshore Cerner FSI operations, coordinating with offshore teams, gathering interface requirements from clinical and technical teams, overseeing the development, testing, deployment, and maintenance of Cerner FSI interfaces, troubleshooting interface-rela...

As a certified medical coder joining the Optical Medicare Coding team at Walmart Pharmacy and Sams Club, your primary responsibility will involve accurately coding procedures, diagnoses, and services related to vision, optical, and dental care. Your role will be crucial in ensuring compliance with Medicare guidelines and maximizing reimbursement for in-house operations. Your day-to-day tasks will include reviewing and analyzing medical records and documentation for vision, optical, and dental services, ensuring coding accuracy in line with federal regulations and internal policies, collaborating with billing and clinical teams to resolve coding discrepancies and denials, participating in aud...

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

As a skilled Denial Coder with at least 1 year of experience in Denials and Radiology coding, your main responsibility will be to analyze denied claims, pinpoint root causes, and implement corrective actions to ensure accurate claim processing and reimbursement. You will review and analyze denied radiology claims, identifying denial reasons and applying correct CPT, ICD-10, and HCPCS codes. Collaboration with billing teams to resolve coding discrepancies will be essential, along with the submission of corrected claims and the appeal of denials when necessary. To qualify for this role, you must hold a certification as a medical coder (CPC, COC, CCS, or equivalent) and have a minimum of 1 year...

Key Responsibilities: As a Senior Product Manager you will be pivotal to creating roadmap owning release plan for multiple capabilities that is futuristic and meets industry and client needs You will be responsible for continuous backlog management prioritizing the backlog considering the needs and objectives of every stakeholder As a thought leader in your business domain bring in industry best practices learnings from client demos and interactions into designing You will anchor business pursuit initiatives sales demo You will have the opportunity to shape the Infosys platform that enables payers and providers to deliver better care Technical Requirements: Payer Provider PBM organizations P...

Key Deliverables: Oversee accurate medical data processing and support care coordination Implement and monitor adherence to medical protocols and guidelines Enhance patient experience during admissions, transfers, and discharges Track medical service KPIs and support process improvement initiatives Role Responsibilities: Collaborate with clinical and administrative teams to optimize care quality Manage patient inquiries and ensure timely issue resolution Support documentation, EHR use, and regulatory compliance Stay informed on pediatric healthcare trends and operational standards

EHR (Electronic Health Record) Analyst Roles and Responsibilities: Manage and optimize electronic health record systems. Ensure EHR systems meet the needs of healthcare providers and patients. Analyze data to improve EHR system performance. Train healthcare staff on EHR system usage. Collaborate with IT departments to implement system updates. Required Skills: Knowledge of EHR systems Proficiency in data analysis Attention to detail Strong organizational skills Ability to train healthcare staff