157 Hipaa Compliance Jobs - Page 4

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...

About RISA Labs Cancer patients face not just a disease, but a broken system where delays in treatment are common due to outdated, error-prone workflows. RISA Labs is changing that with our Business Operating System as a Service (BOSS) - a powerful platform built for the vertical complexity of healthcare, that transforms healthcare operations. Unlike simple automation tools, BOSS breaks down complex workflows into small tasks, managed by smart AI agents like LLMs, digital twins, and reinforcement learners. This creates a digital workforce that doubles the efficiency of healthcare teams, letting a 1,000-person institution operate like it has 2,000 staff overnight. Founders RISA was founded by...

Overview The Hospital Front Desk Executive plays a crucial role in the healthcare infrastructure as the first point of contact for patients and visitors. This position is essential to ensuring a smooth and efficient operation within the hospital environment. The Front Desk Executive greets patients, manages patient appointments, verifies insurance, and assists with various administrative functions. Additionally, this role requires strong interpersonal skills, as the executive must interact with patients who may be under stress. By providing exceptional customer service and support, the Hospital Front Desk Executive helps to create a welcoming atmosphere that fosters patient satisfaction and ...

The Customer Service Representative supports healthcare providers with their electronic healthcare insurance payments. This role involves assisting providers with payment details, guiding them through payment processing, enrolling in products, and registering on the online portal, while ensuring strict adherence to federal HIPAA regulations. You will be part of a collaborative and caring team that thrives on solving problems, delivering excellent service, and building trust with clients. Key Responsibilities: Handle incoming calls from healthcare provider clients, answering inquiries about payments and enrollments. Resolve outstanding payment issues and explain available electronic payment o...

You are an experienced Mulesoft Developer (Platform and System Engineer) with over 8 years of experience in designing and implementing Mulesoft solutions. Your expertise includes a strong knowledge of Mulesoft Anypoint Platform, API-led connectivity, API Gateway, and Runtime Fabric. You have hands-on experience in microservices architecture, API development, enterprise integration patterns (EIP), and message queues such as Kafka and RabbitMQ. In your role, you have demonstrated proficiency in working with Mulesoft CloudHub, On-Prem, Hybrid deployments, troubleshooting issues, and optimizing performance. Your technical skills include knowledge of RAML, REST, SOAP, JSON, XML, DataWeave, Java, ...

We are looking for an experienced Medical Biller - Accounts Receivable (AR) professional to join our healthcare billing team. The ideal candidate should possess extensive knowledge of medical billing procedures, insurance claims follow-up, and AR collections. In this role, you will be responsible for preparing, reviewing, and submitting claims to insurance companies, both electronically and through paper submission. Ensuring proper coding and documentation for claim accuracy and compliance will be a key part of your duties. You will also monitor and follow up on unpaid or denied claims, working closely with insurance providers to resolve claim issues and process appeals when necessary. Addit...

The Medical Record Analyst role involves analyzing, sorting, and summarizing complex medical records with a focus on accuracy and compliance with regulations like HIPAA and GDPR. You will review healthcare documentation, identify key medical events, diagnoses, and treatments for legal or insurance purposes. Ensuring data accuracy and quality control, you will conduct quality checks, identify inconsistencies, and address missing information. Utilizing data management software, you will efficiently handle and organize medical records, maintaining high standards across all data handling processes. You will apply critical thinking to interpret complex medical case histories, extract relevant dat...

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 requirements outlined by physicians. Responsibilities - Assure quality care by adhering to standards set by the physicians. - Provide care education to patients in person or over the phone. - Adhere to compliance guidelines throughout processes (OSHA, FDA, HIPAA). Qualifications - Must be a Registered Professional Nurse with current licensure. - CPR, ACLS, and BCLS Certification. - Knowledge of OSHA, FDA, and HIPAA compliance. - You must be able to lift and position patients on an endoscopy stretcher a...

You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athe...

The ideal candidate will be responsible for providing care to patients while adhering to compliance standards. You will be expected to recognize patient needs and prioritize them in alignment with the directives provided by physicians. Your role will involve assuring quality care according to the standards set by physicians, providing education on care to patients either in person or via telephone, and ensuring compliance with guidelines such as OSHA, FDA, and HIPAA throughout the processes. To qualify for this position, you must hold a current licensure as a Registered Professional Nurse. Additionally, you should possess certifications in CPR, ACLS, and BCLS. Knowledge of OSHA, FDA, and HIP...

You are seeking a skilled MuleSoft Tech Lead to take charge of designing, developing, and leading integration solutions utilizing MuleSoft. An ideal candidate should possess a strong understanding of REST APIs, SOAP Web Services, RAML, and various MuleSoft connectors to ensure seamless integration between enterprise applications. This role demands expertise in integration architecture, API-led connectivity, DataWeave transformations, security protocols (OAuth2), and enterprise service buses (ESB). Experience in the healthcare industry (FHIR, HL7, HIPAA compliance) is highly valued, along with familiarity in ERP and eCommerce integrations. With 6-10 years of experience in MuleSoft development...

You will be joining a fast-growing digital healthcare company committed to enhancing patient outcomes through technology-driven solutions. As a CRM & Digital Engagement Specialist, your primary focus will be on driving patient engagement and increasing brand visibility by utilizing Zoho CRM and various social media platforms. In your role, you will be responsible for managing and optimizing Zoho CRM for lead capture, segmentation, automation, and reporting purposes. This includes creating and maintaining workflows, campaigns, and integrations within the platform. Monitoring and analyzing patient journeys, engagement rates, and conversion funnels will also be part of your responsibilities, al...

You are a detail-oriented and experienced QA Lead responsible for overseeing quality assurance efforts for Healthcare SaaS platform. Your role involves leading QA strategy, collaborating with cross-functional teams, and ensuring a defect-free and secure platform. Your key responsibilities include leading QA strategy for product lines, collaborating with product managers and developers, supervising QA team members, implementing automation frameworks, conducting API and performance testing, managing test environments, ensuring compliance with HIPAA and data privacy, analyzing test results, and providing regular updates to stakeholders. To qualify for this role, you must have a Bachelor's degre...

We are looking for a US Healthcare Sales Executive with experience in selling Medical Transcription, Medical Summarization, and Medical Scribe services. The ideal candidate should have a strong understanding of sales strategies in the US healthcare industry and knowledge of HIPAA compliance. Sales Expertise Experience in selling Medical Transcription, Medical Summarization, and Medical Scribe services. Experience in sales of Medical Transcription, Summarization & Scribe Services. Strong understanding of HIPAA regulations. 1+ years of experience in US healthcare sales. Excellent communication and negotiation skills. _