94 Hipaa Compliance Jobs

As a QA Lead for Healthcare SaaS Products, you will play a crucial role in ensuring the quality and reliability of our platform. Your responsibilities will include: - Leading the QA strategy for one or more product lines, covering manual, automation, API, and performance testing. - Collaborating with product managers and developers to create detailed test plans and test cases based on requirements. - Mentoring and supervising QA team members to drive best practices in testing and bug reporting. - Implementing and maintaining automation frameworks for UI and API testing to expand regression coverage. - Conducting API testing using tools like Postman, Swagger, or Rest Assured to validate backe...

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

Looking for a Certified Medical Coder with expertise in medical billing for anesthesia/ OBGYN/ primary care/ and surgery. Must ensure accurate coding, compliance, and timely claims management. Prior experience in medical billing essential.

We are looking for vendors to perform Charge and Demo Entry in US medical billing. This role involves accurate data entry of patient details, charges, and demographic information. Prior medical billing experience required. Team of 2-5 members

Seeking a skilled Data Analyst with expertise in eClinicalWorks EBO reporting, data extraction, trend & predictive analysis. Must interpret clinical/operational data to drive insights, optimize reports, and support strategic decisions.

Role Overview: As a Tele-Optometrist at our retail store, you will utilize your expertise to deliver top-notch eye care services to customers through virtual consultations. Conducting comprehensive eye exams remotely using telehealth technology will be a key aspect of your role, ensuring precise prescriptions and evaluations of eye health. Your position will play a crucial role in enhancing access to eye care services within a retail setting, combining clinical knowledge with convenience. Key Responsibilities: - Conduct virtual comprehensive eye exams utilizing tele-optometry platforms and in-store diagnostic equipment, with support from trained technicians. - Diagnose and manage various ocu...

Designation: Assistant Manager RCM Department: Revenue Cycle Management (RCM) Reports To: Jonathan Lasrado Employment Type: Full-Time (9:00PM Shift) Key Responsibilities: Supervise and manage a team of medical billing executives. Monitor billing processes to ensure accuracy, timeliness, and compliance with payer requirements. Review and resolve escalated issues related to claims, denials, and rejections. Ensure adherence to HIPAA and other regulatory standards. Prepare and present performance reports, KPIs, and productivity metrics. Assist in training and mentoring new team members. Support client onboarding and relationship management. Identify process improvement opportunities and implemen...

Role Responsibilities Code surgical procedures accurately from SDS documentation Ensure sequencing and compliance with HIPAA and federal regulations Respond to audit findings and submit chart rebuttals Query providers for incomplete or unclear documentation Key Deliverables Deliver accurate CPT and ICD-10 codes for all general surgery cases Clear all coding edits and ensure coding integrity before submission Stay current with coding updates, clinics, and continuing education Maintain accurate records and resolve denials based on medical necessity

Role Responsibilities Manage coding team operations to meet production and quality SLAs Coordinate client training, issue resolution, and performance planning Prepare reports and drive team performance through KPIs and feedback Ensure adherence to HIPAA, ISO, and internal compliance standards Key Deliverables Execute daily planning and resource allocation based on team availability Handle client escalations and represent coding team in status reviews Improve process efficiency with best practices and team engagement Track capacity vs. workload and optimize resource utilization

Role Responsibilities Manage coding team operations to meet production and quality SLAs Coordinate client training, issue resolution, and performance planning Prepare reports and drive team performance through KPIs and feedback Ensure adherence to HIPAA, ISO, and internal compliance standards Key Deliverables Execute daily planning and resource allocation based on team availability Handle client escalations and represent coding team in status reviews Improve process efficiency with best practices and team engagement Track capacity vs. workload and optimize resource utilization

Role Responsibilities Oversee daily operations, ensuring SLAs for coding accuracy and turnaround are met Guide team leads in performance management and skill development Handle client communications, escalations, and reporting effectively Maintain compliance with HIPAA, ISO, and internal quality standards Key Deliverables Ensure effective training and onboarding for new client projects Implement process improvements to enhance coding quality and efficiency Track and report KPIs, productivity, and resource utilization Maintain a positive and productive team environment

Role Responsibilities Oversee daily operations, ensuring SLAs for coding accuracy and turnaround are met Guide team leads in performance management and skill development Handle client communications, escalations, and reporting effectively Maintain compliance with HIPAA, ISO, and internal quality standards Key Deliverables Ensure effective training and onboarding for new client projects Implement process improvements to enhance coding quality and efficiency Track and report KPIs, productivity, and resource utilization Maintain a positive and productive team environment

Role Responsibilities : Oversee day-to-day operations and planning of medical coding deliverables Drive team activities and ensure SLAs for production and quality are met Handle client escalations and manage communication in client calls and meetings Initiate process improvements to enhance team performance Key Deliverables : Manage KPIs and create a growth path for team members Ensure effective capacity/resource planning in line with forecasted workloads Maintain HIPAA and ISO compliance in all processes Prepare and complete client/internal reports, meeting agreed deliverables Let me know if you need further adjustments!

Role Responsibilities : Oversee day-to-day operations and planning of medical coding deliverables Drive team activities and ensure SLAs for production and quality are met Handle client escalations and manage communication in client calls and meetings Initiate process improvements to enhance team performance Key Deliverables : Manage KPIs and create a growth path for team members Ensure effective capacity/resource planning in line with forecasted workloads Maintain HIPAA and ISO compliance in all processes Prepare and complete client/internal reports, meeting agreed deliverables Let me know if you need further adjustments!

Role Responsibilities : Lead and oversee operational, financial, and workforce management for Professional Coding Review performance and provide strategic direction to improve service delivery Manage operations to meet client SLAs, including business continuity and recovery plans Ensure compliance with HIPAA, ISO standards, and company policies Key Deliverables : Achieve business objectives and customer satisfaction through improved processes Successfully manage P&L and meet Gross/Net Margin goals Create and maintain a Center of Excellence in key operational areas Build effective teams and foster a healthy work environment for career growth

You are a result-driven Email Marketing Specialist with proven experience in generating qualified leads from the US healthcare and medical billing sector. Your main focus will be on developing and executing targeted email marketing campaigns, identifying potential clients, creating compelling email content, analyzing campaign performance, and ensuring compliance with regulations such as HIPAA and email marketing laws. Key Responsibilities: - Develop and execute targeted email marketing campaigns focused on US healthcare providers and medical billing decision-makers. - Identify and build email lists of potential clients within the US healthcare billing space. - Create compelling email content...

We are searching for a result-driven Email Marketing Specialist with proven experience in generating qualified leads from the US healthcare and medical billing sector. The ideal candidate will possess hands-on experience with email campaign tools, segmentation strategies, and performance analysis, focusing on B2B lead generation. Key Responsibilities Develop and execute targeted email marketing campaigns directed towards US healthcare providers and medical billing decision-makers. Identify and construct email lists of potential clients within the US healthcare billing space. Create compelling email content and subject lines tailored to the healthcare audience. Analyze campaign performance an...

Job Description_ Senior Executive - AR Analyst _ Denial management Job Name: Senior Executive Position Title: Senior Executive - AR Analyst Band: A2 LOB: Denial Management - AR Analyst - RCM Reporting to: Assistant Manager Location/Site: EXL India, Chennai Overview: Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), website checking and working on non-callable denia...

Sr. Executive- AR caller: Overview: Review, Call, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA's), Qualifications: Graduation in any stream Experience: BPO Experience - 2-5 years US Healthcare AR experience preferred Communication Skill: Excellent oral and written communication skills Working Hours: 40 hours per week as Full-time employee Shift time: 7:30 PM IST - 4:30 AM...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You should be able to recognize patient needs and prioritize those needs with the needs outlined by physicians. You will be responsible for assuring quality care by adhering to standards set by the physicians. Additionally, you will provide care education to patients in person or over the phone and adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA). To qualify for this position, you must be a Registered Professional Nurse with current licensure. It is also required to have CPR, ACLS, and BCLS Certification. Knowledge of OSHA, FDA, and HIPAA compliance is essenti...

Job Description Director of Revenue Cycle Management (RCM) Location: Remote Reports To: CEO / VP of RCM (U.S.-based) Team Oversight: 2540 offshore billers, AR callers, credentialing specialists, and auditors (India-based team) Role Overview The Director of RCM will provide strategic leadership and operational oversight for our offshore billing operations, ensuring end-to-end revenue cycle performance for U.S. healthcare provider clients. This leader will be responsible for building robust processes, maintaining payer compliance, driving collections, minimizing denials, and mentoring offshore teams to deliver world-class results. Key Responsibilities Strategic Leadership Define and execute th...

Role & responsibilities Managing Insurance Claims : Initiate calls to insurance companies to check the status of claims Verify insurance coverage and eligibility for services provided. Payment Follow-Up : Monitor accounts to identify overdue payments or discrepancies. Follow up with payers (insurance companies) for pending or delayed reimbursements. Denial Management : Analyze and categorize denial reasons, such as coding errors or missing documents. Communicate with internal teams (billing, coding) to correct errors. Preferred candidate profile Experience as an AR Caller, or in healthcare claims management and insurance follow-ups. Familiarity with ICD, CPT, and HCPCS codes, along with paye...

We are looking for a highly motivated and experienced Medical Billing Supervisor to manage our daily billing and claims operations, focusing on Medicaid claims. As the Medical Billing Supervisor, you will lead the billing team, ensuring accuracy, efficiency, and compliance throughout the revenue cycle. We need a hands-on leader who can troubleshoot complex billing issues, train staff, and drive the team to achieve key performance metrics. Your responsibilities will include supervising a team of Medical Billers and Claims Specialists, distributing workloads effectively, and monitoring team performance against key metrics such as clean claim rate, denial rate, and accounts receivable aging. Yo...

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