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1.0 - 5.0 years
2 - 5 Lacs
Hyderabad
Work from Office
Kamineni academy of medical sciences is looking for Associate Professor - Anatomy to join our dynamic team and embark on a rewarding career journey Teaching and Instruction: Associate Professors are responsible for teaching undergraduate and/or graduate-level courses in their area of expertise They develop syllabi, prepare course materials, deliver lectures, facilitate discussions, and assess student performance They may also supervise student research projects, theses, and dissertations Research and Scholarship: Associate Professors engage in research activities, pursue scholarly publications, and contribute to the advancement of knowledge in their field They conduct research projects, secure research funding, collaborate with colleagues, and publish their findings in academic journals or present them at conferences They may also mentor and guide graduate students in their research pursuits Academic Advising: Associate Professors provide academic guidance and advising to students They assist students in selecting courses, developing academic plans, and pursuing research or career opportunities within their discipline They may also serve as thesis advisors or mentors to graduate students Service and Committee Work: Associate Professors contribute to the administrative functions of their department, college, or university through service and committee work They participate in faculty meetings, serve on academic committees, contribute to curriculum development, and provide input on various institutional matters
Posted 1 week ago
3.0 - 8.0 years
6 - 9 Lacs
Hyderabad
Work from Office
Denial Multispecialty quality auditor: Life science graduate is mandatory Auditor should have 4+ years of experience in denial radiology, E/M IP and OP, surgery, IVR etc. Able to analyze the denial trend and come up with solutions. Need to provide education to the team and support the team wherever is required Need to work independently. Should have good verbal and written communication Should have knowledge in all the modalities and denial workflow In depth knowledge about the payer policy and denial concepts NCCI edits, MEU, medical necessity. Roles and Responsibilities: - Responsible for accurately addressing multi-specialty denials which includes, EM OP, Surgery, Modifiers, Dx related and ensuring compliance with medical coding policies and guidelines. Requires proficiency in ICD-10, CPT, and HCPCS coding systems, along with a strong understanding of medical terminology and anatomy. Plays a critical role in optimizing reimbursement for healthcare services through timely and accurate submission of coded information. Should have a good knowledge in denial codes and able to interpret the exact denial reasons from EOB and resolve it, Desired Candidate Profile: - Should be a Science Graduate. Minimum of 1+ years of experience in Denials. Basic knowledge of medical terminology and anatomy. Comfortable to work from office. Effective verbal and written communication skills (Should have capability to reply properly to client and stakeholders. Successful completion of CPC or CCS certification must be active during joining and verified. Able to work independently and willing to adapt and change as per business/ process requirements. Timings & Transport 1. Shift timings 8.30am – 5.30Pm 2. FIVE DAYS WORKING (MONDAY – FRIDAY) 3. Need to be Comfortable with WFO-Work from office. Perks and Benefits 1. Saturday and Sunday Fixed Week Offs. 2. Self-transportation bonus up to 3500per month.
Posted 1 week ago
5.0 - 10.0 years
2 - 3 Lacs
Chennai
Work from Office
We are seeking a skilled and experienced Medical Coder to join our team at Ikya global as a Medical Coding Trainer, you will be responsible for accurately assigning medical codes to diagnoses and procedures using industry-standard coding systems. Required Candidate profile Proficiency in industry-standard coding systems, including CPT, ICD, and HCPCS. Certification as a Certified Professional Coder (CPC) is highly desirable.
Posted 1 week ago
1.0 - 6.0 years
4 - 7 Lacs
Gurugram, Delhi / NCR
Work from Office
Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
You will be responsible for analyzing medical records and documentation to identify services provided during patient evaluations and management. Your main task will be to assign appropriate E&M codes based on the level of service rendered and in accordance with coding guidelines and regulations such as CPT, ICD-10-CM, and HCPCS. It is crucial to ensure coding accuracy and compliance with coding standards, including documentation requirements for various E&M levels. Staying up-to-date with relevant coding guidelines, including updates from regulatory bodies like the Centers for Medicare and Medicaid Services and the American Medical Association, is essential. Adherence to coding regulations, such as HIPAA guidelines, is necessary to ensure patient privacy and confidentiality. Following coding best practices and maintaining a thorough understanding of coding conventions and principles are also key aspects of the role. Collaboration with healthcare professionals, including physicians, nurses, and other staff members, is required to obtain necessary information for coding purposes. You will need to communicate with providers to address coding-related queries and clarify documentation discrepancies. Working closely with billing and revenue cycle teams to ensure accurate claims submission and facilitate timely reimbursement is part of the job responsibilities. Conducting regular audits and quality checks on coded medical records to identify errors, inconsistencies, or opportunities for improvement is also a key aspect of the role. Participation in coding compliance programs and initiatives to maintain accuracy and quality standards is expected. To be considered for this position, applicants need to meet the following qualification criteria: - Certified Professional Coder (CPC) or equivalent coding certification (e.g., CCS-P, CRC) - In-depth knowledge of Evaluation and Management coding guidelines and principles - Proficient in using coding software and Electronic Health Record (EHR) systems - Familiarity with medical terminology, anatomy, and physiology - Strong attention to detail and analytical skills - Excellent communication and interpersonal skills - Ability to work independently and as part of a team - Compliance-oriented mindset and understanding of healthcare regulations - Strong organizational and time management abilities - Continuous learning mindset to stay updated on coding practices and changes,
Posted 1 week ago
4.0 - 9.0 years
25 - 35 Lacs
Bengaluru
Remote
AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure output quality. Technical Execution: Build, fine-tune, and deploy models using PyTorch, TensorFlow, HuggingFace Transformers , and scikit-learn . Integrate LLM APIs for code summarization and document understanding. Implement vector search and orchestration platforms for real-time AI assistance. Role & responsibilities Preferred candidate profile
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
thrissur, kerala
On-site
As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting appeals with accurate documentation, and monitoring deadlines for timely submissions. The ideal candidate will possess a strong understanding of the US healthcare billing cycle, hands-on experience with EMR/EHR systems, in-depth knowledge of billing regulations, coding standards, and compliance frameworks. If you are passionate about healthcare revenue management and proficient in resolving complex denials, we encourage you to apply and be a part of the Zapare team. #Hiring #DenialManagement #RCM #HealthcareJobs #MedicalBilling #RevenueCycleManagement #ZapareTechnologies #CareerOpportunity,
Posted 1 week ago
1.0 - 5.0 years
3 - 5 Lacs
Chennai, Bengaluru
Work from Office
About Client Hiring for one of the most prestigious multinational corporations Job Title : Certified Multi Specialty Denial Coders Qualification : Any Graduate and Above Relevant Experience : 1 to 3 Years Must Have Skills : 1. Certification in medical coding (CPC, CCS, or equivalent). 2. Hands-on experience with denial analysis across multiple specialties like cardiology, orthopedics, neurology, etc. 3. Strong knowledge of modifiers, coding edits, and payer-specific requirements. 4. Good communication skills and detail-oriented approach. Good Have Skills : Certification in medical coding (CPC, CCS, or equivalent). Roles and Responsibilities : 1. Review and analyze denied claims across multiple specialties. 2. Identify root causes for denials and take corrective coding actions. 3. Collaborate with the denial management and billing teams to ensure timely resubmission of claims. 4. Maintain coding accuracy and adherence to payer-specific guidelines. 5. Utilize coding systems such as ICD-10-CM, CPT, and HCPCS effectively. 6. Provide feedback and input for denial prevention strategies. 7. Ensure coding compliance as per regulatory and client standards. Location : Bangalore, Chennai CTC Range : 3 5.4 LPA (Lakhs Per Annum) Notice Period : Immediate Mode of Interview : Virtual Shift Timing : Night Shift Mode of Work : Work From Office -- Thanks & Regards, Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 chaitanya.d@blackwhite.in | www.blackwhite.in *******DO REFER YOUR FRIENDS / FAMILY*******
Posted 1 week ago
3.0 - 8.0 years
6 - 11 Lacs
Mohali
Work from Office
Desired Candidate profile Excellent communication, problem-solving and organizational skills Mandatory: Minimum 3+ years of experience in US Healthcare Medical Billing Must have 1 year experience in Team Handling Strong understanding of CPT, ICD 10, HCPCS, payer denials and AR workflow Proficiency in practice management systems. Preferred experience in Trizetto, Waystar, Jopari NextGen. Immediate joiners will be preferred Flexible with shift timings Benefits
Posted 1 week ago
2.0 - 4.0 years
2 - 5 Lacs
Chennai
Work from Office
We are looking for a skilled Senior Coder with 2-4 years of experience to join our team in Chennai. The ideal candidate will have a strong background in coding and analytics, with excellent problem-solving skills. Roles and Responsibility Analyze medical records and assign accurate codes for diagnoses and procedures. Review and validate coding quality for accuracy and compliance. Develop and implement coding standards and guidelines. Collaborate with healthcare professionals to clarify coding discrepancies. Conduct audits to ensure coding compliance with regulations. Provide training and support to junior coders on coding best practices. Job Strong knowledge of coding principles and regulations. Excellent analytical and problem-solving skills. Ability to work accurately and efficiently in a fast-paced environment. Effective communication and collaboration skills. Strong attention to detail and organizational skills. Ability to maintain confidentiality and handle sensitive information. Experience working with CRM/IT Enabled Services/BPO industry. Company nameOmega Healthcare Management Services Pvt. Ltd. Reference number1376745.
Posted 1 week ago
1.0 - 6.0 years
4 - 5 Lacs
Pune
Work from Office
Hiring : US HEALTHCARE(AR CALLER- RCM/DENAILS) Location : Pune CTC : Up to 5.5 LPA Shift : US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced US HEALTHCARE(AR CALLER- RCM/DENAILS) to join our growing US Healthcare RCM team. Eligibility : Experience: Minimum 1 year in Hiring: US HEALTHCARE(AR CALLER- RCM/DENAILS) Qualification: Any Key Skills: Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Chanchal- 9251688424
Posted 1 week ago
1.0 - 3.0 years
3 - 6 Lacs
Hyderabad
Work from Office
Training Design and deliver training programs on ICD-10-CM , CPT , and HCPCS coding systems Create instructional materials like handbooks, presentations, and online modules Track performance metrics and maintain detailed training records
Posted 1 week ago
3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
You should have at least 3 years of hands-on experience in Interventional Radiology coding and be proficient in reviewing and interpreting complex interventional radiology reports to accurately assign codes for procedures and diagnoses. As an Interventional Radiology Medical Coder, your responsibilities will include applying appropriate CPT, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures. It is essential to stay updated with IR coding guidelines, CPT changes, and compliance regulations. You will also be required to support internal and external audits by providing detailed coding rationale and documentation. The ideal candidate for this position should hold a Certified Professional Coder (CPC) or CIRCC certification, with a strong preference for candidates with MIPS Coding experience. Additionally, familiarity with radiology workflow, RIS/PACS systems, and coding tools is beneficial. A comprehensive understanding of CPT, ICD-10-CM, and HCPCS Level II codes is essential for this role.,
Posted 1 week ago
7.0 - 12.0 years
6 - 9 Lacs
Noida, Hyderabad
Work from Office
Deliver ED CPT/ICD10CM/HCPCS/NCCI coding training, update SOPs, coach coders, track audit metrics, and support documentation improvement. Required Candidate profile 7–10 yrs in ED coding, 4+ yrs training experience. AAPC/AHIMA-certified (CPC/CCS), strong knowledge of CMS/AMA/AHA/ACEP guidelines, excellent presentation skills.
Posted 1 week ago
6.0 - 11.0 years
5 - 8 Lacs
Chennai
Work from Office
Develop and deliver training on coding, create SOPs, track assessments, provide feedback, and update content per regulatory/payer guidelines to enhance coding quality. Required Candidate profile 6+ years experience in medical coding training; strong CPT/ICD-10-CM knowledge; expertise in training delivery and curriculum design; excellent communication.
Posted 1 week ago
1.0 - 5.0 years
0 Lacs
ahmedabad, gujarat
On-site
As a Medical Billing Specialist, your primary responsibility will be to efficiently manage the end-to-end Account Receivable (AR) processes in medical billing. You will be required to follow up on claim approvals, denials, and appeals diligently to ensure timely reimbursements. Generating and analyzing AR reports will be crucial for tracking collection performance. In addition, you will need to communicate effectively with insurance companies and patients to address billing inquiries in a prompt manner. It is essential to reconcile accounts, process refunds, and resolve any billing discrepancies that may arise. Your expertise in CPT, ICD-10, and HCPCS coding is vital for this role. To excel in this position, you should possess 1-3 years of experience in medical billing and AR management. A strong understanding of healthcare insurance claims and billing processes is essential. Excellent communication and negotiation skills are a must, along with proficiency in billing software and MS Office. Previous experience in Revenue Cycle Management, specifically in Physician Billing, will be advantageous. Your ability to analyze insurance remittance advice, clearinghouse rejections, and denials will be critical for success. This is a full-time position that involves working night shifts from 5:30 PM to 2:30 AM at the office. The role offers benefits such as a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. Prior work experience of at least 1 year is preferred for this role. The job requires in-person work at the specified location. In summary, as a Medical Billing Specialist, you will play a pivotal role in ensuring efficient AR processes, timely reimbursements, and effective communication with stakeholders to optimize billing operations.,
Posted 1 week ago
5.0 - 10.0 years
4 - 6 Lacs
Bengaluru
Hybrid
Develop tailored training on ICD-10, CPT, and MedDRA for clinical research. Include updated e-modules, case studies, and coding exercises. Ensure compliance with ICH-GCP, FDA, EMA, and HIPAA standards, focusing on data privacy and coding accuracy.
Posted 2 weeks ago
2.0 - 5.0 years
2 - 5 Lacs
Mangalore, Karnataka, India
On-site
As a Senior Associate in Revenue Cycle Management, you will be responsible for ensuring the efficient and effective functioning of the revenue cycle processes within a healthcare organization You will oversee various aspects of revenue cycle operations, including patient registration, charge capture, coding, billing, claims processing, denial management, and accounts receivable follow-up Your primary goal will be to optimize revenue generation, maximize collections, and minimize denials to ensure the financial health of the organization Responsibilities Revenue Cycle Oversight: Manage and supervise the revenue cycle operations, ensuring compliance with regulatory requirements and industry best practices Develop and implement strategies to optimize revenue generation and enhance cash flow Monitor key performance indicators (KPIs) and financial metrics to identify trends, areas for improvement, and potential revenue leakage Collaborate with cross-functional teams, such as clinical departments, finance, coding, and compliance, to streamline revenue cycle processes Billing and Claims Management:Oversee the timely and accurate submission of claims to third-party payers, including Medicare, Medicaid, commercial insurance companies, and self-pay patients Monitor claim status and work closely with the billing team to resolve any coding or billing discrepancies Analyze denial patterns, identify root causes, and implement corrective measures to minimize denials and maximize collections Stay updated with changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance and accurate billing Accounts Receivable Management:Review and analyze accounts receivable aging reports to identify delinquent accounts and take appropriate actions for timely payment Implement strategies for effective accounts receivable follow-up, including phone calls, appeals, and negotiations with payers and patients Collaborate with the finance team to reconcile payments, identify posting errors, and resolve outstanding balances Provide guidance and support to the team in resolving complex billing and reimbursement issues Process Improvement:Continuously assess revenue cycle processes, identify inefficiencies, and recommend process improvements to enhance operational efficiency and revenue integrity Implement automation and technology solutions to streamline workflows and reduce manual intervention Conduct regular audits and reviews to ensure compliance with coding guidelines, billing regulations, and internal policies Develop and deliver training programs to educate staff on revenue cycle best practices, coding updates, and compliance requirements Qualifications Bachelors degree in Healthcare Administration, Business Administration, or a related field (master's degree preferred) Experience in revenue cycle management or healthcare finance Strong knowledge of healthcare reimbursement systems, billing regulations, and coding guidelines (eg, CPT, ICD-10, HCPCS) Proficiency in using revenue cycle management software and electronic health record (EHR) systems Familiarity with third-party payer requirements, including Medicare, Medicaid, and commercial insurance Excellent analytical and problem-solving skills with the ability to interpret financial data and identify trends Strong leadership and team management abilities Effective communication and interpersonal skills to collaborate with various stakeholders Certified Professional Biller (CPB) or Certified Revenue Cycle Specialist (CRCS) certification is a plus Note: The above job description is a general outline and may vary depending on the organization and its specific requirements Role: Customer Success,Service & Operations - Other Industry Type: Medical Services / Hospital Department: Customer Success,Service & Operations Employment Type: Full Time, Permanent Role Category: Customer Success, Service & Operations - Other Education UG: Any Graduate PG: Any Postgraduate
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
The Denial Analyst position involves analyzing, researching, and resolving denied claims in the field of medical billing. As a Denial Analyst, your responsibilities will include interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. A key aspect of this role is tracking trends in denials to address systemic issues causing rejections. The successful candidate must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Required Qualifications: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials This is a full-time position with a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
noida, uttar pradesh
On-site
The Trainer EM/OP Medical Coding at Chirok Health is a full-time on-site role located in Noida. As a Trainer, you will be responsible for conducting training sessions on medical coding standards, medical terminology, and medical assisting. Your role will involve developing training curricula, evaluating trainee performance, and ensuring adherence to coding accuracy and compliance guidelines. It is essential to hold a Certified Professional Coder (CPC) credential or similar coding certification. To excel in this role, you must have proven experience as a medical coder in a healthcare setting and worked as a trainer for a minimum of 2-3 years. A strong knowledge of coding systems, including ICD-10-CM, CPT, HCPCS, and medical terminology is required. Excellent communication and presentation skills are crucial to effectively convey complex coding concepts to trainees. Preferred qualifications include experience in developing and delivering training programs for adult learners. Strong attention to detail, analytical thinking, and problem-solving skills will contribute to your success as a Trainer. You should be able to work independently, manage multiple priorities, and meet deadlines in a dynamic environment. Staying updated with the latest coding standards and industry best practices is essential. Collaboration with management to identify training needs and improve training programs will be a key aspect of your role.,
Posted 2 weeks ago
1.0 - 6.0 years
2 - 6 Lacs
Navi Mumbai
Work from Office
Role & responsibilities : Claims Processing: Managing and processing insurance claims, including verifying patient information, coding procedures accurately, and submitting claims to insurance companies. Follow-up on Unpaid Claims: Monitoring the status of submitted claims, identifying unpaid or denied claims, and following up with insurance companies to resolve issues and ensure timely payments. Appeals and Disputes : Handling claim denials and rejections by preparing and submitting appeals to insurance companies and resolving billing disputes. AR Aging Management : Managing accounts receivable aging reports and actively working to reduce outstanding balances. Preferred candidate profile: Experience: A minimum of 1-5 years of experience in medical billing and insurance claims processing. Previous experience in a senior or leadership role within a medical billing department is highly desirable. Knowledge: Strong understanding of medical billing procedures, healthcare reimbursement, and insurance claim processes. Proficiency in medical coding (ICD-10, CPT, HCPCS) and knowledge of billing software and electronic health records (EHR) systems. Familiarity with healthcare regulations, including HIPAA, and the ability to maintain compliance.
Posted 2 weeks ago
5.0 - 10.0 years
5 - 8 Lacs
Chennai
Work from Office
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 Analyze customer queries to provide timely response that are detailed and ordered in logical sequencing Cognitive Skills include language, basic math skills, reasoning ability with excellent written and verbal communication skills Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing Continuous learning to ramp up on the knowledge curve to be the SME and to be compliant with any certification as required to perform the job Be a team player and work seamlessly with other team members on meeting customer goals Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by Claims function Handle reporting duties as identified by the team manager Handle claims processing across multiple products/accounts as per the needs of the business 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. 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: 5+ 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. ***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 weekend s basis business requirement.
Posted 2 weeks ago
1.0 - 4.0 years
1 - 3 Lacs
Noida
Work from Office
Perform pre-call analysis and check status by calling the payer or using IVR or web portal services Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference Record after-call actions and perform post call analysis for the claim follow-up Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments Job REQUIREMENTs To be considered for this position, applicants need to meet the following qualification criteria: 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers Fluent verbal communication abilities / call center expertise Knowledge on Denials management and A/R fundamentals will be preferred Willingness to work continuously in night shifts Basic working knowledge of computers. Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. We will provide training on the client's medical billing software as part of the training. Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus. Call/WhatsApp- 9311316017 (HR Manish Singh)
Posted 2 weeks ago
5.0 - 9.0 years
0 Lacs
hyderabad, telangana
On-site
You are seeking experienced and certified Senior Same Day Surgery Medical Coders with a deep understanding of CPT, HCPCS, ICD-10-CM, modifiers, and units extracted from medical record documents. Your communication skills should be excellent to effectively carry out the responsibilities associated with this role. Your core responsibilities will include coding medical records related to Inpatient and Outpatient Surgical Specialties, such as Orthopedics, General Surgery, Cardiology, Spine, and Oral procedures. You must have a minimum of 5+ years of experience in this field and be adept at accurately assigning ICD-10-CM & PCS diagnoses and procedure codes. Additionally, you should have advanced technical knowledge in specific inpatient and outpatient surgical and medical specialties. It is essential for you to possess extensive knowledge of medical terminology, demonstrate proficiency in researching and applying coding rules and regulations, and have experience in data entry of codes into databases or software tools. Familiarity with Microsoft Excel, Word, and various EMR systems is necessary. Furthermore, exceptional oral and written communication skills are required, along with a positive and respectful attitude. To be eligible for this position, you must hold a Science Graduate or Postgraduate degree and possess current AHIMA/AAPC certificate(s). A high level of proficiency in English, both verbally and in writing, is essential. You should be willing to work from the office as per the work location requirement. If you meet these qualifications and are ready to contribute your expertise to our team, we look forward to receiving your application.,
Posted 2 weeks ago
1.0 - 5.0 years
0 Lacs
ahmedabad, gujarat
On-site
The primary responsibility of this role is to manage various aspects of Accounts Receivable (AR) processes in medical billing. This includes following up on claim approvals, denials, and appeals to ensure timely reimbursements. You will also be responsible for generating and analyzing AR reports to track collection performance. Additionally, the role involves communicating with insurance companies and patients to address billing inquiries, reconciling accounts, processing refunds, and resolving billing discrepancies. A key requirement for this role is a strong understanding of CPT, ICD-10, HCPCS codes. The ideal candidate should possess 1-3 years of experience in medical billing and AR management, with a solid knowledge of healthcare insurance claims and billing processes. Excellent communication and negotiation skills are essential for effectively interacting with stakeholders. Proficiency in billing software and MS Office is also required. Experience in Revenue Cycle Management (Physician Billing) is preferred, along with the ability to analyze insurance remittance advice, clearinghouse rejections, and denials. This is a full-time position with a night shift schedule from 5:30 PM to 2:30 AM and requires on-site work. In terms of benefits, the role offers a flexible schedule, provided meals, leave encashment, paid sick time, and paid time off. The preferred candidate should have at least 1 year of total work experience. The work location is in person.,
Posted 2 weeks ago
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