3606 Hipaa Jobs - Page 29

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, LOAs to accounts, making required corrections to claims . Shall understand and abide by the organizations information security policy and protect the confidenti...

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, LOAs to accounts, making required corrections to claims . What you will need: Must be a Graduate Good Communication skill (read and writing). Ready to work in N...

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, LOAs to accounts, making required corrections to claims. Shall understand and abide by the organizations information security policy and protect the confidentia...

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, LOAs to accounts, making required corrections to claims. What you will need: Good voice and demonstrate professional demeanor via phone. Must be a Graduate Must...

Team Leadership & Delivery Lead a team of denial analysts across IP/OP workqueues; plan capacity, assign work, and monitor performance. Run daily huddles; set targets for productivity, quality, and TAT; remove blockers and manage escalations. Conduct 1:1s, coaching, cross-training, and performance reviews. Denials Resolution Review EOB/ERA, CARC/RARC codes, payer policies, and medical necessity criteria to build strong appeals. Oversee timely filing, resubmissions, corrected claims, and second-level medical appeals. Drive overturns on common IP denials (e.g., level of care, lack of medical necessity, DRG changes) and OP denials (e.g., bundling, NCCI edits, MUEs, modifiers, prior auth). Quali...

Minimum of 5+ years of experience Data file analysis and problem resolution of inbound files. Data analysis using Excel, SQL, or other ODBC toolsets with Oracle RDBMS. Document preparation (Functional Requirements FRD). SDLC lifecycle adherence and management of change control process and approvals QA support of requirements and testing Maintain team documentation of data inventory, mapping document and flow diagrams Assists in managing large scale projects, leads appropriate resources, and determines project requirements and deliverables, to ensure successful implementations to meet customer stakeholder user needs. Assists in ensuring successful project conclusions and large-scale projects ...

Greetings from eNoah iSolution! Hiring - Project Manager-Charge Entry Job Location: Chennai (Taramani) Exp : 7 to 10 Years Shift : Night Shift Salary: Based on the Interview Performance and Previous Salary Notice Period : Immediate Joiner Job Requirements: Roles & Responsibilities: Has sound knowledge in Charge entry process Accurately review for medical services provided by healthcare providers. Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment. Verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting. Adhere...

Greetings from eNoah iSolution! Hiring - Project Manager-Charge Entry Job Location: Chennai (Taramani) Exp : 7 to 10 Years Shift : Day Shift Salary: Based on the Interview Performance and Previous Salary Notice Period : Immediate Joiner Job Requirements: Roles & Responsibilities: Has sound knowledge in Charge entry process Accurately review for medical services provided by healthcare providers. Analyze patient encounter documentation, such as super bills, operative reports, and medical records, to ensure accurate charge capture and appropriate code assignment. Verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding-related issues before charge posting. Adhere t...

We Are Hiring -AR Calling || US Healthcare || RCM || Physician Billing || Hospital Billing || Eligibility :- Min 1+ years of experience into AR Calling Package :- 42 K + Incentives + 2 way Cab Location :- Navi Mumbai, Hyderabad , Bangalore, Chennai Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 1. AR Callers Denial Management (Physician Billing) Locations: Hyderabad | Mumbai | Chennai Experience: Minimum 1+ Year in AR Calling (Denial Management) Qualification: Intermediate & Above Salary: Up to 42,000...

Role & responsibilities Need to work on payment posting and denial batches and Cash posting Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Candidate should have good healthcare knowledge. Candidate should have knowledge of Medicare and Medicaid. Preferred candidate profile Candidates holding Min 1 months of Experience into payment posting can apply Candidate should be good in Denials. Candidate should have knowledge of Medicare; Medicaid & ICD & CPT codes used on Denials. Mode of Interview - In person Monday to friday Availability - Work from office Industry - Healthcare Domain - US healthcare Relievi...

Experience with multiple specialties especially Orthopedics and Ophthalmology is preferred. Well-versed in Medical Terminologies. should have experience in medical scribe or virtual medical scribing .

Job Description: As an experienced professional with domain expertise in Revenue Cycle Management (RCM) for Hospital facilities and Physicians, you will be expected to possess a deep understanding of various specialties such as E&M-IP/OP coding. Your knowledge should extend to EM IP/OP, APC for optimizing reimbursement, UHDDS and guidelines, as well as Level of service determination focusing on Physical Examination & Medical Decision Making in Documentation guidelines. Additionally, you should be familiar with hospital E&M coding - initial/subsequent visits, Human Anatomy, Physiology, Pathophysiology, Pharmacology, Diagnostic Studies, Conservative and Surgical Treatments, Operative Reports, ...

As an individual with excellent domain expertise and process knowledge in RCM for Hospital facility/Physician, you will be responsible for supervising and managing a team of 100+ QAs. Your role will involve creating an inspiring team environment with an open communication culture, designing QA capacity planning, delegating tasks, and setting deadlines. Additionally, you will be managing the quality of OP (ED/EM/SDS/ANC/OBV), ProFee Surgery & EM, and IP DRG projects while ensuring quality control as per client SLA. Your key responsibilities will include: - Creating an inspiring team environment with open communication culture - Designing QA capacity planning based on project requirements - De...

Role Overview: As an Employee Monitoring Specialist, you will be responsible for overseeing and managing employee activity monitoring systems to ensure compliance with company policies, enhance productivity, and protect sensitive information. You should have experience with monitoring tools such as Teramind, ActivTrak, or similar platforms, data analysis, and compliance management. Key Responsibilities: - Administer and manage employee monitoring software (e.g., Teramind, ActivTrak, etc.) to track user activity, system access, and data handling. - Monitor, review, and analyze employee activity reports to identify anomalies, suspicious behaviors, or policy violations. - Work closely with comp...

As a Regional Solutions Engineer at Data Dynamics, you play a crucial role in technical pre-sales and customer management. Your responsibilities involve engaging with customers, understanding their business and technical requirements, delivering demonstrations, and evaluating the feasibility of their needs. You will collaborate with sales representatives for Proof of Concept (POC) or sales reviews, and work closely with customer success managers for existing customers. Your expertise is essential in setting up and conducting demonstrations and POCs independently, defining success criteria, and obtaining customer approval post-POC. Your interactions with customers, both new and existing, requ...

As a Medical Records Technician at MAGJ Hospital, Mookkannoor, you will be responsible for managing and documenting patient health records. This includes collecting, reviewing, and organizing medical history, diagnoses, treatments, and test results. Ensuring the accuracy, up-to-date nature, and proper storage of records in electronic health record (EHR) systems or physical files is crucial. Assigning medical codes using classification systems like ICD-10 and CPT will be a part of your daily responsibilities. Maintaining confidentiality and security of patient information as per HIPAA and other regulatory requirements is mandatory. Key Responsibilities: - Data entry and retrieval tasks: Enter...

Designation/ Role: Compliance Senior Manager Experience: 12 to 15 years of experience in Compliance, Information Security and BCM Domains Department: Compliance & Information Security Work Timing: 9 hours/day; 5 days a week flexible shift timing between 10 am to 12 am IST. Should be ready to work as per US/UK shift timings as and when needed. Qualifications: Graduate / B.E. Professional Certifications: ISO27001 Lead Auditor/PCI DSS/CEH-EC council/CISA. Key Skills: ISO 27001:2022 (ISMS), HIPAA, SOC 2 Type II, HITRUST, PCI DSS, VAPT and Cyber Security Assessments, Vulnerability Management, Third-party Risk management, Creating New Policies/SOPs, Filling the client questionnaire, Dark Web Monit...

We are seeking a Senior Backup Engineer (Contractor) to lead the design, implementation, and management of enterprise backup solutions. You will act as the technical Subject Matter Expert for data protection and restore strategies with a strong focus on cyber resiliency, business continuity, and compliance. Key Responsibilities : - Architect, deploy, and manage backup and recovery solutions across on-prem, hybrid, and cloud platforms. - Manage and optimize enterprise Data Protection platforms such as Cohesity and Dell Data Domain. - Configure and manage backup solutions for Microsoft 365 environments. - Automate backup operations and reporting using Ansible, PowerShell, Python, or Bash. - De...

We are seeking a Senior Backup Engineer (Contractor) to lead the design, implementation, and management of enterprise backup solutions. You will act as the technical Subject Matter Expert for data protection and restore strategies with a strong focus on cyber resiliency, business continuity, and compliance. Key Responsibilities : - Architect, deploy, and manage backup and recovery solutions across on-prem, hybrid, and cloud platforms. - Manage and optimize enterprise Data Protection platforms such as Cohesity and Dell Data Domain. - Configure and manage backup solutions for Microsoft 365 environments. - Automate backup operations and reporting using Ansible, PowerShell, Python, or Bash. - De...

We are seeking a Senior Backup Engineer (Contractor) to lead the design, implementation, and management of enterprise backup solutions. You will act as the technical Subject Matter Expert for data protection and restore strategies with a strong focus on cyber resiliency, business continuity, and compliance. Key Responsibilities : - Architect, deploy, and manage backup and recovery solutions across on-prem, hybrid, and cloud platforms. - Manage and optimize enterprise Data Protection platforms such as Cohesity and Dell Data Domain. - Configure and manage backup solutions for Microsoft 365 environments. - Automate backup operations and reporting using Ansible, PowerShell, Python, or Bash. - De...

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your typical day will involve troubleshooting and resolving technical issues, collaborating with cross-functiona...

About The Role Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : Electronic Medical Records (EMR) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years of full time eduaction Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. Your typical day involves troubleshooting and resolving software issues to ensure seamless o...

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may ar...

Project Role : Application Support Engineer Project Role Description : Act as software detectives, provide a dynamic service identifying and solving issues within multiple components of critical business systems. Must have skills : EPIC Systems Good to have skills : NAMinimum 3 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Support Engineer, you will act as software detectives, providing a dynamic service identifying and solving issues within multiple components of critical business systems. You will play a crucial role in ensuring the smooth functioning of the applications and resolving any technical glitches that may ar...

Project Role : Application Developer Project Role Description : Design, build and configure applications to meet business process and application requirements. Must have skills : Life Sciences Good to have skills : Salesforce DevelopmentMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time educationDeep expertise in Life Sciences (LS), Veeva CRM, LWC ,Agentforce, and strong Salesforce technical capabilities:Job Summary :We are seeking a Senior Salesforce Technical lead to join our Life Sciences Cloud team. The ideal candidate will have strong hands-on expertise in Salesforce platform development, solid understanding of life sciences commercial processes...