Job description Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatoryrequirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Role: Healthcare & Life Sciences - Other Industry Type: BPO / Call Centre Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Healthcare & Life Sciences - Other Education UG: Graduation Not Required
Job description Excellent Knowledge in Denials Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB Insurance types Balance billing Co-ordination of Benefits Ensure full compliance with all company, departmental, legal and regulatoryrequirements with regards to Payment Posting procedures and practices Good verbal and written communication and presentation skills Ability to execute and accomplish tasks consistently within deadlines Basic knowledge of MS Office Experience working on imagine systems and Advanced MD would be an added advantage Role: Healthcare & Life Sciences - Other Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Healthcare & Life Sciences - Other Education UG: Graduation Not Required
Roles and Responsibilities Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM). Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences. Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes. Analyze data trends and develop strategies to improve denial rates and reduce write-offs. Ensure compliance with regulatory requirements and industry standards for RCM best practices. Desired Candidate Profile 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles. Strong understanding of medical billing principles, ICD-10 codes, CPT codes, HCPCS level II codes, anatomy & physiology. Excellent communication skills for effective collaboration with customers/patients over phone calls. Role: Medical Biller / Coder Industry Type: Analytics / KPO / Research Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Health Informatics Education UG: Any Graduate