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1.0 - 6.0 years

3 - 5 Lacs

Hyderabad, Bengaluru

Work from Office

Naukri logo

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

Posted 2 weeks ago

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1.0 - 4.0 years

3 - 5 Lacs

Hyderabad

Work from Office

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Job Title: Charge Entry Specialist Job Description: We are seeking a detail-oriented Charge Entry Specialist to join our healthcare team. The ideal candidate will be responsible for accurately entering and verifying patient treatment codes, maintaining records, and assisting with billing inquiries. This role is crucial for ensuring the accuracy of medical billing and coding, which directly impacts the financial health of our organization. . Responsibilities: Enter medical treatment codes into billing software accurately. Verify all patient demographic data and insurance information. Review and correct claims that have been denied or rejected due to incorrect coding. Ensure all required documentation is available for billing. Maintain confidentiality of all patient information in accordance with HIPAA guidelines. Resolve discrepancies in billing data. Work closely with the billing team to ensure accurate billing and reduce denials. Stay updated with changes in billing codes and medical terminology. Qualifications: Strong understanding of medical terminology, billing codes, and revenue cycle management. Excellent attention to detail and accuracy. Ability to maintain high levels of accuracy under pressure. Proficiency in using billing software and other relevant tools. Strong communication skills to interact with healthcare providers and insurance companies. Experience in medical billing or a related field is preferred. Education: Graduation mandatory experience matters more! Contact: please share your resume to below Contact HR- Aakshya - 8072294017 HR- Aravind - 7286960006 walk- in Location: Sutherland global Services DivyaSree TechRidge, Block P2, (North Wing) 7th Floor, Manikonda, Hyderabad 500089, Write Name on your top of your Resume - Akshaya / Aravind

Posted 3 weeks ago

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5.0 - 7.0 years

4 - 6 Lacs

Vadodara

Work from Office

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Seeking experienced Team Lead – Payment Posting with EOB/ERA & eCW expertise. Must have 5+ yrs in US RCM & strong leadership skills. Deep RCM knowledge & accuracy in payment posting required. Required Candidate profile Must know EOBs, ERAs, denials, refunds; skilled in billing software & Excel; strong analytics, communication, multitasking; detail-oriented; open to full-time, permanent WFO role.

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3 - 7 years

3 - 5 Lacs

Vadodara

Remote

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Payment Posting with EOB/ERA & ECW expertise. Must have 3+ yrs in US RCM WITH Manual posting Deep RCM knowledge & accuracy in payment posting required. Note: Require only ECW software experience is must.

Posted 1 month ago

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2 - 5 years

2 - 5 Lacs

Vadodara

Remote

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Seeking a skilled Dental Payment Posting Specialist with denial management expertise. Must have strong RCM knowledge, dental insurance experience & claim denial resolution skills. Required Candidate profile Experienced in dental billing/posting with denial management. Skilled in WinOMS, OMSVision, DSN. Proficient in CDT coding, EOBs, insurance. Detail-oriented, organized, and analytical.

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2 - 3 years

4 - 5 Lacs

Hyderabad

Work from Office

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About the Role: We are seeking a detail-oriented and proactive Accounts Receivable (AR) Caller to join our medical billing team. The AR Caller will be responsible for contacting insurance companies to follow up on outstanding claims, resolve payment issues, and ensure timely reimbursement for medical services rendered. Key Responsibilities: Make outbound calls to insurance companies to check claim status and resolve denials or pending claims. Follow up on unpaid or underpaid claims and escalate complex issues as needed. Review and analyze Explanation of Benefits (EOBs) and Remittance Advice (RA). Update billing system with accurate notes and claim statuses. Collaborate with internal billing and coding teams to resolve billing discrepancies. Ensure compliance with HIPAA regulations and company policies. Meet daily, weekly, and monthly productivity and quality targets. Required Skills and Qualifications: Bachelors degree or equivalent work experience in medical billing or healthcare. 2–3 years of experience in AR calling or medical billing preferred. Strong understanding of revenue cycle management (RCM), CPT, ICD-10, and HCPCS codes. Excellent communication and negotiation skills. Ability to work independently and manage time effectively. Familiarity with billing software and electronic health records (EHRs) is a plus. Preferred Skills: Experience with Medicare, Medicaid, and commercial insurance payers. Knowledge of US healthcare regulations and insurance guidelines. Prior experience working in a BPO/KPO environment focused on healthcare. Compensation & Benefits: Competitive salary based on experience. Health insurance and other standard company benefits. Opportunities for growth and professional development.

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1 - 3 years

2 - 4 Lacs

Chennai

Work from Office

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Greetings from ecare India We are looking for Medical Billing Professionals with min 1 - 3 Years of experience. Below are the positions available, Interested and suitable candidates can walk-in directly for the interview between Monday to Wednesday (11:00AM to 5:00 PM) Job Role 1: Executive - Charge Entry Candidates should possess Excellent Knowledge in medical Billing with minimum 1 - 3 years of Experience and expose to the roles like demographic & charge entry. Job Role 2: Executive - Payment Posting Exp. in Payment / Cash Posting Experience: 1 to 3 Years Skills Required: ERA, EFT, EOB Walkin Address: e-care India 2nd Floor B R Complex 27 woods Road Chennai 2 Landmark: Diagonally Opposite to spencer plaza To get scheduled interview kindly contact us @ 9345041089

Posted 2 months ago

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5 - 8 years

2 - 5 Lacs

Chennai

Work from Office

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Role & responsibilities: In-depth Knowledge and Experience in the US Health Care Payer System. 2-3 years of experience in Claims Adjudication. Knowledge on MS office tools Understanding Client P&Ps based on instruction guidelines. Develop a strong understanding of the business challenges and provide knowledge and insights Analyze internal/client feedback emails and report back to Managers Handling coaching/feedback sessions efficiently. Periodic knowledge calibration with client or quality team Floor troubleshooting and if required get queries clarified with client.

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1 - 3 years

0 - 2 Lacs

Chennai

Work from Office

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Positions General Duties and Tasks: Process Insurance Claims timely and qualitatively Meet & Exceed Production, Productivity and Quality goals Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Be a team player and work seamlessly with other team members on meeting customer goals Requirements for this role include: Both Under Graduates and Post Graduates can apply. Excellent communication (verbal and written) and customer service skills. Able to work independently; strong analytic skills. Detail-oriented; ability to organize and multi-task. Ability to make decisions. Required computer skills: must have experience with data entry and word processing, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications. Demonstrate strong reading comprehension and writing skills. Cognitive Skills include language, basic math skills, reasoning ability and verbal communication skills. Ability to work in a team environment. Handling different Reports - IGO/NIGO and Production/Quality. To be in a position to handle training for new hires Work together with the team to come up with process improvements Strictly monitor the performance of all team members and ensure to report in case of any defaulters. Encourage the team to exceed their assigned targets. **Required schedule availability for this position is Monday-Friday 6PM/4AM IST. The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends basis business requirement. Requirements for this role include: Candidate should be flexible & support team during crisis period Should be confident, highly committed and result oriented Experience on working in an office environment set up utilizing Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools Experience in a professional/office related role that required you to communicate (oral/written) effectively with internal team members and external customers Experience in a role that required a focus on quality including attention to detail, accuracy, and accountability for your work product Candidate should be flexible to work from home and office environment. Broadband connection is must while working from home. Preferences for this role include: 1-3 years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT. 2+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts If interested please walk - in to the location on below date NTT Data services, 5th Block 4th Floor, DLF IT park, Ramapuram, Chennai Date - 03rd April 2025

Posted 2 months ago

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1 - 2 years

2 - 4 Lacs

Noida

Work from Office

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Role & responsibilities Follow up with the Insurance company to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Insurance Collection Insurance Ageing. Will be involved in various AR reports preparation such as Aging reports, Collection reports etc. Analyzing Claims. Initiate telephone calls to insurance companies requesting status of claim in queue regarding past due invoices and establishment payment arrangements. Meet Quality and productivity standards. Processing the Health insurance claims. Contact insurance companies for further explanation of denials & underpayments. Take appropriate action on claims to guarantee resolution. Auditing the claims Ensure accurate & timely follow up where required. Review denials to determine necessary steps for Claim review Respond to client inquiries via phone and email regarding account or software issues. NOTE : It's available only for Noida/Ghaziabad/Mayur Vihar/New Ashok Nagar/Laxmi Nagar/Vinod Nagar/Ghazipur/Khora candidates. Perks and benefits

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1 - 2 years

1 - 3 Lacs

Noida

Work from Office

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Role & responsibilities Post payments and adjustments to patient accounts from various payers, including insurance companies, Medicare, Medicaid, and patient payments. Review and process remittance advice (ERA) and explanation of benefits (EOB) to ensure accurate payment posting. Ensure accurate coding and compliance with payer-specific requirements during payment posting. Reconcile and resolve payment discrepancies, ensuring that payments are applied correctly. Work closely with the billing and coding team to resolve denials, payment errors, and outstanding balances. Identify and report any trends or issues with payment posting, including incorrect payments or denied claims. Process overpayments, refunds, and adjustments according to company policies and procedures. Assist in monthly and quarterly reporting on payment posting activities and outstanding balances. Maintain clear and accurate documentation of all payment transactions and related communications. Provide support in managing and maintaining accounts receivable balances. Stay updated with payer changes, government regulations, and insurance guidelines. Perform other duties as assigned by management to support the overall revenue cycle process. Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances; Qualifications: High school diploma or equivalent (Associates or Bachelors degree in healthcare, business, or related field is a plus). years of experience in payment posting within healthcare or revenue cycle management. Strong understanding of healthcare insurance, payers, and remittance advice. Proficient in using payment posting software and electronic health record (EHR) systems. Detail-oriented with excellent organizational and problem-solving skills. Strong communication skills and ability to work collaboratively with cross-functional teams. Knowledge of HIPAA regulations and confidentiality guidelines. Ability to work independently and meet deadlines in a fast-paced environment. Preferred Qualifications: Knowledge of medical billing codes (CPT, ICD-10, HCPCS). Prior experience in healthcare physician billing. Working Conditions: Work in an office setting with a focus on data entry and systems management. Plus point if know the workaround Greenway Integrity Software. Perks and benefits

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1 - 2 years

0 - 2 Lacs

Chennai

Work from Office

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Greetings From Prochant India Pvt Ltd Hiring for FRONT END BILLING - REJECTIONS (NON - VOICE)(NIGHT SHIFT) Immediate Joining !!! Notice Period (15 Days) Maximum Mode of Interview: In person/ Virtual Availability: Work from office Eligibility: Candidates holding 1 to 2 Years of Experience into Medical Billing Domain as Front End Billing, Rejection can only apply for this position. Job Description: Non calling Insurance Company on behalf of Doctors / Physician for claim status. Follow-up with Insurance Company to check status of outstanding claims. Receive payment information if the claims has been processed. Analyze claims in case of rejections. Ensure deliverable adhere to quality standards. Industry - Medical Billing Domain - US healthcare Shift Timing - 6:30PM - 3.30AM Working Days - 5 days (Fixed weekend Off) Process - Front End Billing, Rejections Benefits: Salary & Appraisal - Best in Industry Monthly Performance Incentives up to Rs. 9000/- Excellent learning platform with great opportunity to build career in Medical Billing Quarterly Rewards & Recognition Program Dinner for Night Shift Medical Insurance Coverage Referral Bonus Upfront Leave Credit Only 5 days working (Monday - Friday) Two way cab facility for female employees Contact Details: Harini P Email id: harinip@prochant.com Contact No : 8870459635

Posted 3 months ago

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2 - 6 years

2 - 4 Lacs

Vadodara

Work from Office

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Responsible for accurately and promptly posting payments, denials, and adjustments. Ensure precise posting of insurance EOB payments to patient accounts. Experience in EOB, ERA along with ECW software exp mandatory

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1 - 3 years

2 - 4 Lacs

Chennai

Work from Office

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Greetings from ecare India We are looking for Medical Billing Professionals with min 1 - 3 Years of experience. Below are the positions available, Interested and suitable candidates can walk-in directly for the interview from 20-March-25 to 25-March-25 (Except Saturday & Sunday) Job Role 1: Executive - Payment Posting Exp. in Payment / Cash Posting Experience: 1 to 2 Years Skills Required: ERA, EFT, EOB Job Role 2: AR Analyst Min 1-3 years of experience in AR Analysis Work Experience in Denials Management Experience in Taking Actions for the Denials AR Callers who have taken action for Denials can also apply Walkin Address: Venue 1: e-care India 5th Floor Navins wss towers 106 Harris Road, Pudupet Chennai 600 002 Venue 2: e-care India 2nd Floor B R Complex 27 woods Road Chennai 2 Landmark: Diagonally Opposite to spencer plaza To get scheduled interview kindly contact us @ 9345041089

Posted 3 months ago

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