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1.0 - 5.0 years
0 Lacs
maharashtra
On-site
As a part of Resolv, you will be joining a team dedicated to improving financial performance and patient experience in healthcare revenue cycle operations. Your primary responsibilities will include: - Claims Follow-Up & Collections: - Monitoring outstanding insurance claims and patient balances, and conducting timely follow-ups with insurance providers. - Reconciling daily AR reports and accounts to track collections and pending claims. - Identifying and escalating billing errors or discrepancies for resolution. - Denial Management & Appeals: - Analyzing denial trends and collaborating with the billing team to correct recurring issues. - Preparing and submitting appeals for denied or underp...
Posted 5 days ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
As a medical coder with 2-3 years of multispecialty, E&M-OP, and Surgery coding experience, your primary responsibility will be to accurately assign appropriate medical codes to diagnoses, procedures, and services conducted by healthcare providers. Your tasks will encompass reviewing patient medical records meticulously to assign correct ICD-10-CM, CPT, and HCPCS codes. It is imperative to ensure strict compliance with all coding guidelines, regulations, and standards, while also collaborating with healthcare providers and team members to address coding-related issues efficiently. Auditing medical records to guarantee the precision and completeness of coded data is another crucial aspect of ...
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
chandigarh
On-site
As a Certified Medical Coder (E/M Specialist) at BeeperMD in Chandigarh IT Park, you will play a crucial role in accurately assigning ICD-10-CM, CPT, and HCPCS codes for patient care. Your responsibility will include reviewing and analyzing medical records to ensure appropriate coding for diagnoses and procedures, collaborating with healthcare providers to clarify documentation, and staying updated with coding regulations and best practices. To excel in this role, you must hold a Certified Professional Coder (CPC) credential and demonstrate proven experience as an E/M coding specialist. A strong grasp of medical terminology, anatomy, and physiology is essential, along with excellent analytic...
Posted 2 weeks ago
5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
As a Healthcare AR Specialist in the US Healthcare industry, you will be joining a leading US healthcare revenue cycle team. Your role will involve managing accounts receivable, resolving denied claims, and driving reimbursement outcomes through the utilization of top-tier EMR and RCM tools. Your key responsibilities will include tracking and following up on unpaid/denied claims using systems such as Epic, Oracle Cerner, Meditech, CPSI, NextGen, Athena, and Artiva. You will investigate denials, rectify errors, and prepare appeals with necessary documentation. Analyzing AR aging to prioritize collections and reduce outstanding receivables will be crucial, along with collaborating across codin...
Posted 3 weeks ago
2.0 - 5.0 years
0 Lacs
noida, uttar pradesh, india
On-site
Ready to shape the future of work At Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos , our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to , our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that&rsquos shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology ...
Posted 3 weeks ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
The Supervisor, Coding is responsible for supervising the activities and operations of the Coding department and staff. You will be in charge of organizing, directing, and monitoring the daily activities of Coding Associates, including managing coding edits and denials. Distributing workloads among the team and monitoring the productivity of department employees will be part of your responsibilities. You will also field questions from Coding Associates, Auditors, and clients, as well as prepare reports and correspondence as needed. As the Supervisor, you will establish procedures, coordinate schedules, and expedite workflow to ensure efficient operations. Conducting employee evaluations, int...
Posted 1 month ago
3.0 - 7.0 years
0 - 0 Lacs
karnataka
On-site
As a Certified CPC Coder specializing in radiology billing operations within the Revenue Cycle Management team, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while complying with US healthcare regulations. Your responsibilities will include reviewing and validating CPT, ICD-10, and HCPCS codes for radiology studies, conducting audits to maintain high-quality standards, and ensuring regulatory compliance with HIPAA, CMS regulations, and facility-specific billing protocols. You will be responsible for preparing and submitting accurate invoices to partner healthcare facilities based on contracted fee schedules, as well as validating invoice ...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
The role of RPM & CCM Billing Specialist at MedQuik Solutions in Chennai involves managing billing processes, invoicing, client communication, client billing, and accounting tasks. As a Billing Specialist, you will be responsible for CCM Billing, ensuring accurate documentation and reimbursement for Chronic Care Management services. You will review patient records and medical charts to code diagnoses and procedures correctly for RPM and CCM services, resolving billing discrepancies promptly for timely claim submissions and reimbursements. It is essential to stay updated with billing codes, insurance regulations, and compliance guidelines. The ideal candidate should have a minimum of 2 years ...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
maharashtra
On-site
You will be working in the Mumbai office with a night shift timing from 8 pm to 5 am. As part of your role, you will be responsible for Claims Follow-Up & Collections which involves monitoring outstanding insurance claims, conducting timely follow-ups with insurance providers, reconciling daily AR reports, and identifying billing errors for resolution. Additionally, you will handle Denial Management & Appeals by analyzing denial trends, preparing and submitting appeals for denied claims, and maintaining records of appeal status. You will also be in charge of Reporting & Compliance tasks like generating aging reports, AR summaries, and maintaining accurate collection records. Your primary fun...
Posted 1 month ago
3.0 - 7.0 years
0 Lacs
haryana
On-site
The Project Lead Pharmacovigilance position at DDReg offers a compelling opportunity for you to advance your career in pharmacovigilance project management. As a crucial member of the Project Management team, you will play a key role in overseeing and directing all pharmacovigilance services. Your responsibilities will include serving as the primary contact for clients, ensuring project activities align with client needs and regulatory requirements, and maintaining high-quality work standards to achieve client satisfaction. Your key accountabilities in this role will involve closely managing client relations by acting as the main liaison between clients and project teams. You will be respons...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
karnataka
On-site
The position of RCM Quality Analyst in our Revenue Cycle Management (RCM) department in Visakhapatnam, India, is currently open for a detail-oriented and analytical individual. As an RCM Quality Analyst, you will play a crucial role in evaluating and enhancing the quality of revenue cycle processes to ensure accuracy, compliance, and efficiency in all operations. Your responsibilities will revolve around quality and process auditing, data analysis, reporting, feedback and training, continuous improvement, and documentation. Your main tasks will include conducting regular audits to identify discrepancies and areas for improvement, analyzing data to optimize processes, preparing detailed repor...
Posted 1 month ago
0.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Ready to shape the future of work At Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos , our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to , our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that&rsquos shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology ...
Posted 1 month ago
0.0 years
0 Lacs
Noida, Uttar Pradesh, India
On-site
Ready to shape the future of work At Genpact, we don&rsquot just adapt to change&mdashwe drive it. AI and digital innovation are redefining industries, and we&rsquore leading the charge. Genpact&rsquos , our industry-first accelerator, is an example of how we&rsquore scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to , our breakthrough solutions tackle companies most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that&rsquos shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology ...
Posted 1 month ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
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...
Posted 2 months ago
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