2545 Hipaa Jobs - Page 39

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 healthc...

As a Data Analyst with deep experience in the US Healthcare industry and skills around Machine Learning (ML), you will play a vital role in conducting comprehensive data analysis using statistical and exploratory methods to uncover patterns and insights that drive data-driven decision-making in the healthcare domain. Leveraging your knowledge of healthcare industry metrics such as HEDIS, CMS Star Ratings, risk adjustment models, and revenue cycle data, you will optimize analytics strategies to ensure efficient data quality, availability, and reliability for AI/ML-driven healthcare analytics solutions. Your responsibilities will include designing and maintaining data pipelines for the ingesti...

Job Description: As an integral part of our team, you will be responsible for conducting audits of patient medical records to verify coding accuracy and documentation compliance. You will meticulously review both inpatient and outpatient records to ensure that services are correctly documented and billed. Your keen attention to detail will be crucial in ensuring compliance with healthcare regulations such as HIPAA, Medicare/Medicaid, and CMS guidelines. Your role will involve identifying errors in coding, billing, and documentation, and providing valuable feedback to the relevant departments. You will prepare comprehensive audit reports that outline findings, trends, and recommendations for ...

As an experienced professional with 3-5 years of experience, you will be responsible for Vendor Risk Management, Third-Party Risk Management (TPRM), Risk Assessment, and ensuring compliance with regulatory frameworks such as HIPAA, PCI, GDPR. Your shift timing will be from 6.30 pm to 3.30 am. Join Omnicom Global Solutions, a key player within Omnicom Group, a renowned global marketing and corporate communications company. Our Indian division, OGS India, provides essential products and services across various domains including Creative Services, Technology, Marketing Science, Advanced Analytics, and more. With a team of over 4000 talented professionals, we are on a rapid growth trajectory and...

We are seeking dynamic candidates to join our organization for the position of Billing Executive (Voice Dental RCM) for the Night Shift. As a Billing Executive, your primary responsibilities will include communicating with patients" Dental Insurance to obtain details regarding their dental policy benefits and the status of outstanding dental claims. A comprehensive understanding of Dental Billing operations is essential for this role. You will be required to liaise with Dental Insurance providers to inquire about benefit information, outstanding claims, and any additional guidelines that may impact coverage. Ensuring accurate and detailed documentation by obtaining benefit information on the...

As a Manager Quality in Medical Coding with 10-12 years of experience, you will be responsible for overseeing the Inpatient Medical Coding operations. You will collaborate with the Coding Education and Quality Coordinator to ensure comprehensive on-the-job training for all staff under your supervision. Monitoring the progress of new employees and providing timely feedback to ensure competency is met is a crucial aspect of your role. Your duties will also include monitoring productivity levels to maintain work performance standards and addressing any day-to-day issues that may affect staff negatively. Regular update meetings will be conducted to keep the staff informed about departmental, hos...

Hiring for Accounts Receivable Executive (XiFin) experience!!! Call : Elizabeth - 7028889320 Job Description Desired Skills 1+ Years of experience in US Medical RCM {Revenue Cycle Management} Willingness to work in US shifts. Immediate Joiners are preffered. Looking for experience in XiFin Software! Can perform HIPAA compliant auto and manual posting requirements Executes daily payment posting batch reconciliation Understanding of posting offsets, forward balance, and refund processing / posting Familiar with denial and remarks codes to perform posting and assignment of AR appropriately Familiar with secondary billing process while perform cash posting Clear understanding on: ERA & EOB ERA c...

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: E...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position:- - Operations Manager ( Male candidates Only ) Job description:- Min 8+ years experience in US Healthcare Industry in End to End RCM. At least 3 + years experience as a Manager Operations. (day shift ) Have good Knowledge of entire Medical Billing Processes such as Charge Entry, EDI, Cash Posting, Denial, and AR & MIS. Has Clear understanding of functioning of major Insurance Carriers, Health Care Facilities and Billing offices in USA. Has ability to drive a RCM process from different aspects, Such as Bad Debt Management, Denial Management, AR Management, Credit Balance Management & KPI Tracking, Good Knowled...

Information Protection Associate Advisor - HIH - Evernorth Position Summary: A successful Red Team member should possess a deep understanding of information security and computer science paired with experience executing highly technical offensive assessments. They should understand advanced red and purple team campaign concepts such as performing social engineering and covert operations against complex networks while remaining entirely undetected, advanced application manipulation, and basic programming concepts. They should be able to improve the overall detection and response capabilities of the organization by understanding adversarial TTPs, developing engagements that emulate specific th...

Job Title Data Analyst Expert Job Description Job title: Data Analyst Expert Your role: Analyzes complex and multi-dimensional datasets across various business units to uncover deep insights that inform high-level strategic decisions and drive business performance. Creates sophisticated data models and predictive analytics using advanced statistical techniques and machine learning algorithms to forecast trends and optimize business outcomes, working under general supervision. Implements scalable ETL (Extract, Transform, Load) pipelines and robust data integration solutions, ensuring data consistency, accuracy, and reliability across the organization. Provides inputs on data architecture and ...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Security Information and Event Management (SIEM) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating wit...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Security Information and Event Management (SIEM) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating wit...

Contact insurance companies in the US to follow up on unpaid or denied medical claims Review patient account information resolve denials or rejections Work on hospital billing claims Analyze denial codes, understand reason for denials Required Candidate profile Document update the system with call outcomes and next steps Ensure adherence to HIPAA guidelines internal quality std Meet daily and weekly targets for call volume resolution Communicate effectively Perks and benefits Perks and Benefits

Project Role : Application Lead Project Role Description : Lead the effort to design, build and configure applications, acting as the primary point of contact. Must have skills : Business Requirements Analysis, EPIC Systems Good to have skills : NAMinimum 5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As an Application Lead, you will lead the effort to design, build, and configure applications, acting as the primary point of contact. Your typical day will involve collaborating with various teams to ensure that project goals are met, facilitating discussions to gather requirements, and overseeing the development process to ensure alignmen...

Project Role : Security Architect Project Role Description : Define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Document the implementation of the cloud security controls and transition to cloud security-managed operations. Must have skills : Security Information and Event Management (SIEM) Good to have skills : NAMinimum 7.5 year(s) of experience is required Educational Qualification : 15 years full time education Summary :As a Security Architect, you will define the cloud security framework and architecture, ensuring it meets the business requirements and performance goals. Your typical day will involve collaborating wit...

Role & responsibilities Network Protocols,Network Security,CCNP,CCIE,PCI,HIPAA,MPLS,BGP Provide L2/L3 support / Cisco switches / FortiGate firewall / Secure SD-WAN solution Senior Network Engineer - CCNP/CCIE Design and implement enterprise-wide network solutions, upgrades and changes with a strong focus on network security (implementing / managing firewalls, crafting firewall policies, developing trust zone models, building systems/apps into trust zones, handling 3rd party connectivity requests, etc. Conduct related technical analysis & planning for deployment of evolving technology solutions, leveraging architecture standards and design guides. Contribute to the development of such standar...

Job Title: Assistant Manager - Risk & Compliance Department: Risk & Compliance Work Location: Airoli, Navi Mumbai & Sakinaka , Andheri Work Shift: 3:00 PM to 12:00 AM IST Reporting To: Director - Risk & Compliance Team Size: 2-3 Executives (Global) Job Purpose: To ensure compliance with applicable local laws, US healthcare industry regulations (such as HIPAA), and internal company policies, including anti-bribery, code of conduct, and PHI safeguarding. This role plays a critical part in enabling a secure and compliant operational environment across global functions. Goals & Objectives: Ensure a secure and compliant customer experience Build an effective internal control environment Promote e...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai S...

Location: Coimbatore Type: Contract Duration: 6-7 months, extendable Experience Required: 10+ years Job Summary: We are looking for a Contract Data Architect with strong expertise in SSIS-based ETL development to support our ongoing data integration and warehousing initiatives. The contractor will be responsible for designing and optimizing data pipelines, managing data transformations, and ensuring high-quality data flow between systems. This is a hands-on role requiring close collaboration with internal teams and external stakeholders. Experienced EHR/EMR Systems Architect to lead the design and integration of scalable, secure, and interoperable healthcare information systems. This role re...

Job Title: Credentialing Executive Location: Hyderabad, Telangana Company: Harmony United Medsolutions Pvt. Ltd. About Us: Harmony United Medsolutions Pvt. Ltd. [HUMS] is a dynamic and innovative company dedicated to revolutionizing the Healthcare Industry. We at HUMS take pride in being a reliable partner as a Healthcare Management Company. With nine years of experience, we have perfected our end-to-end services in medical billing, A.R. management, and other essential healthcare facets. We provide our services to Harmony United Psychiatric Care, a US-based Healthcare Company. We pride ourselves on our commitment to excellence, creativity, and pushing the boundaries of whats possible. As we ...

Workplace Architect will be responsible for technical oversee of the project for designing and implementing a robust patching process for our customer's workplace services transformation project. The successful candidate will possess strong technical expertise in endpoint management, patching, and security, with experience in designing and implementing solutions that span multiple operating systems and device types. Key Responsibilities: Design and implement a comprehensive patching process for the workplace, ensuring a compliant and secure environment. Develop a detailed design document outlining the patching process, including workflows, timelines, and tool integrations. Collaborate with t...

Role : Data Modeler Lead Location : Remote Experience : 10years+ Healthcare experience is Mandatory Position Overview : We are seeking an experienced Data Modeler/Lead with deep expertise in health plan data models and enterprise data warehousing to drive our healthcare analytics and reporting initiatives. The candidate should have hands-on experience with modern data platforms and a strong understanding of healthcare industry data standards. Key Responsibilities : Data Architecture & Modeling : - Design and implement comprehensive data models for health plan operations, including member enrollment, claims processing, provider networks, and medical management - Develop logical and physical d...

Greetings, Hope you are doing fine! NOTE: We apologize if any inconvenience is caused or if this job opening is irrelevant / not of interest to you and request you to ignore this mail. We have an job opening with a leading HealthTech company Position: Head of Compliance Location: Bangalore JD: Need a candidate having experience in Compliance, HIPAA, SaMD, and FDA. If interested in the profile, kindly send us your updated CV to debraj.bhattacharya@connexio.asia and ankit.kumar@connexio.asia Also, it would be great if you could help me with the following details Current Fix CTC: Expected CTC: Notice Period: Current Location: Thanks, Mona Shah Recruitment Team Email: mona.shah@connexio.asia

US Health and welfare Voice Exp Medical billing AR Call Quality analyst Call Monitoring International BPO Rotational Shifts 5 days working