161 Hipaa Compliance Jobs - Page 2

As a Nurse in the Chronic Patient Care team at Cloudphysician's Clinical Capability Center (CCC), you play a crucial role in delivering exceptional healthcare to patients with chronic conditions. Your responsibilities include serving as a liaison between patients and healthcare providers, ensuring effective communication, accurate information exchange, and coordinated care to enhance patient outcomes. You will address clinical queries, manage patient concerns, and provide ongoing support to guarantee optimal care. - Ensure timely and accurate placement of medication orders in the pharmacy, based on precise dosage calculations, strength, and quantity requirements, in accordance with the provi...

As an Accounts Manager for Dental Insurance Claims at Peroa Consultancy Services LLP, you will be responsible for overseeing our U.S. dental claims operations. Your role will involve utilizing your expertise in U.S. insurance claims and team leadership to ensure efficient and ethical dental RCM solutions. Key Responsibilities: - Manage CDT Coding & J400 Submissions - Implement PPO and Union Plan Workflows - Conduct AR Follow-up & Denial Management - Utilize Dentrix, Open Dental, and Eaglesoft effectively - Ensure HIPAA Compliance & Client Coordination Qualifications Required: - 5+ years of experience in U.S. Dental RCM/BPO - Certifications in CDBS, HIPAA, ADA, CDT are preferred - Experience ...

We are looking for skilled and detail-oriented professionals with experience in Medical Billing (Payment Posting process) to join our dynamic revenue cycle management team. The ideal candidate will ensure accurate and timely posting of payments, reconciliation of accounts, and adherence to compliance standards. Key Responsibilities: Perform daily cash balancing and ensure accuracy in posting payments. Conduct payment posting and matching for insurance and patient payments. Follow up with payors for pending payments and resolve discrepancies. Handle payments with missing Explanation of Benefits (EOBs) and ensure resolution. Close and update daily payment batches in a timely manner. Identify a...

As an experienced Healthcare EMR/EHR professional, you will be responsible for hands-on working experience in EHR/EMR Application clinical data analysis and support activities. Your expertise in Netsmart myAvatar application support, particularly in Mental healthcare and behavioral healthcare workflows & data management, will be crucial for this role. Your responsibilities will include: - Hands-on working experience in EHR/EMR Application clinical data analysis and support activities - Experience in Netsmart myAvatar application support is a plus - Experience in Mental healthcare and behavioral healthcare workflows & data management - Experience in EHR/EMR application troubleshooting - Knowl...

As a candidate for this role, you will be responsible for the following key tasks: - Obtaining prior authorizations for procedures and specialist visits as necessary. - Proactively following up with insurance companies regarding pending authorizations and denials. - Collaborating closely with the billing team to guarantee accurate claim submission and minimize denials. - Ensuring compliance with HIPAA and other relevant regulations in all communication. Experience in verification and authorization for at least 1 year is preferred for this position. The company offers the following benefits: - Commuter assistance - Food provided Please note that this is a full-time, permanent position that re...

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None What You Will Do Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claim...

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None What You Will Do Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claim...

As a member of the team, your role will involve obtaining prior authorizations for procedures and specialist visits as needed. You will be responsible for proactively following up with insurance companies regarding pending authorizations and denials. Collaborating closely with the billing team will be essential to guarantee accurate claim submissions and minimize denials. It is crucial that you adhere to HIPAA and other relevant regulations in all your communications. - Experience in eligibility verification and authorization (1 year preferred) (Note: No additional details of the company were provided in the job description),

Company Description Valenta is a global leader in Business Process Automation (BPA) design and implementation for medium-sized businesses. With offices in 17 countries and over 400 staff and partners worldwide, Valenta provides customized solutions in Process Consulting, Digital Transformation, Staff Augmentation, Digital Marketing, and Learning. Our services are designed to help businesses improve competence and performance while reducing costs. From Marketing and Sales to HR, Valenta assists in optimizing rules-based processes. We pride ourselves on understanding the process dynamics of each business and creating specific solutions to meet growth objectives. Visit valenta.io to learn more ...

As a Senior Data Engineer at our company, your main role is to design, build, and maintain scalable data pipelines and architectures to support the Denials AI workflow. You will work under the guidance of the Team Lead, Data Management to ensure that the data is reliable, compliant with HIPAA, and optimized. **Key Responsibilities:** - Collaborate with the Team Lead and cross-functional teams to gather and refine data requirements for Denials AI solutions. - Design, implement, and optimize ETL/ELT pipelines using Python, Dagster, DBT, and AWS data services (Athena, Glue, SQS). - Develop and maintain data models in PostgreSQL; write efficient SQL for querying and performance tuning. - Monitor...

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 denials. Qua...

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None What You Will Do Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claim...

OverviewApplication At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide more than $10...

As a Medical Disability Examination Coordinator, you will be responsible for coordinating disability examinations for Veterans in accordance with VA guidelines. You will collaborate with physicians, clinical staff, and veterans to ensure smooth exam workflows. Utilizing automation platforms, you will streamline scheduling processes and optimize clinic schedules for efficient resource allocation. - Schedule and track Veterans disability examinations per VA guidelines. - Review, validate, and process Disability Benefits Questionnaires (DBQs) for accuracy and completeness. - Collaborate with physicians, clinical staff, and veterans to facilitate smooth exam workflows. - Use automation platforms...

Job Family EBO Accounts Receivable (India) Travel Required None Clearance Required None What You Will Do Initiate calls requesting status of claims in queue. Contact insurance companies for further explanation of denials and underpayments Take appropriate action on claims to guarantee resolution. Ensure accurate and timely follow-up where required. Document actions taken in claims billing summary notes To prioritize the pending claims for calling from the aging basket to make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claim...

Key Responsibilities Front Desk Executive 1. Patient Reception & Communication Greet patients warmly in-person and over the phone. Ensure a positive first impression. Answer incoming calls and direct inquiries appropriately. Maintain patient confidentiality (HIPAA/compliance standards). Guide new patients on registration and facility layout. 2. Patient Registration & Information Management Accurately register patients in the system. Inform patients about consultation charges, packages, and services. Collect and update patient information with consent. Support follow-ups and promotional initiatives. 3. Appointment Scheduling & Coordination Coordinate with Call Centre to schedule appointments ...

Company Overview With 80,000 customers across 150 countries, UKG is the largest U.S.-based private software company in the world. And we're only getting started. Ready to bring your bold ideas and collaborative mindset to an organization that still has so much more to build and achieve Read on. At UKG, you get more than just a job. You get to work with purpose. Our team of U Krewers are on a mission to inspire every organization to become a great place to work through our award-winning HR technology built for all. Here, we know that you're more than your work. That's why our benefits help you thrive personally and professionally, from wellness programs and tuition reimbursement to U Choose a...

Job Description: You will be a full-time CPC Coder based in Sahibzada Ajit Singh Nagar. Your main responsibility will be to accurately code medical claims using CPT, ICD-10, and HCPCS codes. Your daily tasks will involve reviewing medical records, ensuring compliance with regulations, analyzing patient information, and communicating with healthcare providers for clarification. Additionally, you will need to maintain patient confidentiality, stay updated with coding guidelines, and collaborate with the billing team to resolve claim issues. Key Responsibilities: - Accurately code medical claims using CPT, ICD-10, and HCPCS codes - Review medical records and ensure compliance with regulations -...

As a Voice Agent at Equinox Agents, your role will involve providing technical and customer support for an advanced Electronic Medical Records (EMR) system designed for behavioral health providers. You will assist healthcare professionals in navigating workflows, resolving system errors, and optimizing software functionality. **Key Responsibilities:** - Handle inbound and outbound calls related to EMR technical support and customer inquiries. - Assist users with software navigation, troubleshooting errors, and optimizing workflows. - Provide real-time guidance on billing, scheduling, clinical documentation, and reporting tools within the EMR. - Document customer interactions, resolutions, an...

AssistHealth is a leading healthcare service provider dedicated to offering personalized care to individuals in the comfort of their homes. Our team is committed to providing high-quality, compassionate care for various medical and non-medical needs, ensuring each patient receives the attention and care they deserve. As a Short Visit Nurse at AssistHealth, your role involves providing brief, in-home nursing care tailored to specific patient needs and care plans. Your responsibilities will include: - Providing short-term, in-home nursing care based on patient needs and care plans. - Administering medication, performing wound care, and monitoring patient conditions. - Conducting health assessm...

Role Overview: As a Patient Calling Specialist in our US Healthcare Revenue Cycle Management team, your primary responsibility will be to engage in post-billing communication with patients to collect outstanding balances and address aged accounts receivable (AR) issues stemming from insurance coverage concerns. Key Responsibilities: - Investigate and resolve accounts delayed due to coverage issues such as coordination of benefits and eligibility denials. - Collaborate effectively with internal teams including billing, coding, and AR follow-up to ensure accurate resolution of patient accounts. - Document all interactions and follow-up actions meticulously in the patient management system. - U...

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...

Hiring Now US Healthcare voice (International Voice Process) | Leading MNC | Bangalore Position : US Healthcare Voice Process (AR Caller) Company : Reputed MNC in Healthcare Revenue Cycle Management Location : Bangalore Job Type : Full-Time Experience : 6 Months to 4 Years Shift : Night Shift (US Process) Industry : BPO US Healthcare / Revenue Cycle Management (RCM) Qualification : Any Graduate About the Role: We are hiring experienced and goal-oriented US Healthcare to join the dynamic team of a reputed multinational company. This is an exciting opportunity to work in a global healthcare BPO environment, with world-class training, career growth potential, and a vibrant work culture. Key Res...

Hiring Salesforce Developer with Health Cloud expertise for a remote contrac t role. Strong skills in Apex, Lightning, Visualforce, integrations. Minimum 6 yrs experience. HIPAA/ICD-10 knowledge preferred.Share your profile to adctalentedge@gmail.com

As a healthcare professional in this role, you will be responsible for providing quality care to patients while ensuring compliance standards are met. Your focus will be on recognizing patient needs and aligning them with physician requirements. Key Responsibilities: - Assure quality care by following the standards established by physicians - Educate patients on care procedures in person or via phone communication - Maintain compliance with guidelines from OSHA, FDA, and HIPAA Qualifications: - Registered Professional Nurse with a valid license - Certification in CPR, ACLS, and BCLS - Familiarity with OSHA, FDA, and HIPAA regulations - Ability to lift and position patients on endoscopy stret...