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3.0 - 7.0 years
0 Lacs
chennai, tamil nadu
On-site
You will be joining our team as a COB Validation Specialist, where you will play a crucial role in validating coordination of benefits for members with multiple insurance coverage. Your responsibilities will include ensuring accurate application of COB rules, collaborating with insurance carriers and internal teams to resolve billing discrepancies, and maintaining compliance with healthcare regulations. Additionally, you will be expected to stay updated on insurance policies, COB regulations, and industry standards. Communication with internal teams, clients, and external parties to facilitate proper claims resolution will also be a key aspect of your role. Furthermore, you will be responsible for generating and preparing reports related to COB activities, claims issues, and resolutions. To excel in this role, you must have a strong familiarity with HIPAA regulations and patient confidentiality. Proficiency in Excel, SQL, or reporting tools would be advantageous. It is important to note that experience in Revenue Cycle Management (RCM) or Accounts Receivable (AR) is not required for this position. While not mandatory, having an understanding of data analytics, statistics, and data management concepts would be beneficial. Proven experience in working within a fast-paced environment supporting multiple concurrent projects is also a plus. We value collaboration and teamwork, so being a team player with the ability to adapt to various projects will be highly appreciated. If you are someone who thrives in a fast-paced environment and enjoys working collaboratively within a team, we encourage you to apply for this exciting opportunity.,
Posted 1 day ago
1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Patient Calling Representative in the Night Shift (US Healthcare) based in Chennai Ekkatuthangal, you will be responsible for communicating with patients to gather clinical and treatment details, as well as providing relevant healthcare information. Your role will also involve assisting patients in understanding their insurance benefits, coverage details, and claim statuses. It is crucial to accurately document call details, update patient records in the system, and ensure compliance with healthcare regulations. Maintaining HIPAA compliance and ensuring the confidentiality of patient information is paramount in this role. Meeting call targets, maintaining high-quality service standards, and adhering to key performance indicators (KPIs) are essential for success. To excel in this position, previous experience in AR calling, patient calling, or healthcare RCM is preferred. A strong understanding of US healthcare billing, insurance claims, and HIPAA regulations is crucial. Excellent verbal and written communication skills are required, along with the ability to handle difficult conversations with empathy and professionalism. Proficiency in CRM tools, medical billing software, or EMR systems is a plus. You should be willing to work night shifts as per US time zones. This is a full-time position requiring 1-4 years of experience. To apply, please send your resume and cover letter to rohini.srinivasan@aaneel.com. The benefits include health insurance and leave encashment. The work schedule is a fixed shift from Monday to Friday during the night shift.,
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
delhi
On-site
Job Description: Macro Outsourcing is a Business Process Outsourcing company specializing in transcription, billing, and document management services for medical clinics and physicians in the United States. We aim to streamline back-office operations like medical transcription and billing, ensuring cost-efficiency, quality, and compliance with HIPAA regulations. Our diverse team of finance, technical, medical, and legal professionals from Manufacturing and Service Industries brings extensive expertise to deliver value-added services. We prioritize customer satisfaction, service excellence, innovation, and value addition in all our operations. As a Virtual Live Medical Scriber at Macro Outsourcing, you will play a crucial role in transcribing live doctor-patient encounters and managing medical documentation with precision and efficiency. Your responsibilities will include accurately transcribing medical information during patient interactions, maintaining the confidentiality of sensitive information, and adhering to HIPAA regulations, as well as ensuring all transcripts meet established quality standards. The ideal candidate for this role should have proven experience in medical transcription and documentation, exceptional attention to detail and accuracy in handling medical information, strong knowledge of medical terminology, procedures, and abbreviations, familiarity with HIPAA regulations, and a commitment to maintaining patient confidentiality. Additionally, the candidate should possess the ability to thrive in a fast-paced environment, manage multiple tasks effectively, and have excellent communication skills for collaboration with healthcare professionals. Previous experience in medical transcription is preferred, and certification in medical transcription is a plus. This is a full-time, on-site position located in New Delhi, India. If you are looking to contribute your expertise to a dynamic team focused on delivering high-quality services to medical clinics and physicians in the United States, we encourage you to apply for this role. Employment Type: Full-time,
Posted 1 week ago
2.0 - 6.0 years
0 Lacs
delhi
On-site
As an AR Caller at M&D Capital, a premier billing company based in New York, you will be responsible for managing accounts receivable, contacting insurance companies for claim updates, addressing claim denials, and pursuing outstanding claims. This full-time hybrid role offers work-from-home options, allowing for flexibility in your work schedule. Your daily tasks will include maintaining accurate records, collaborating with various departments, and ensuring prompt reimbursements. The ideal candidate should have prior experience in Accounts Receivable, Claims Management, and Medical Billing. Strong communication skills, proficiency in billing software and medical terminology, attention to detail, and problem-solving abilities are essential for success in this role. You should be comfortable working both independently and as part of a team. Knowledge of HIPAA regulations would be advantageous. The ability to effectively manage a hybrid work model, balancing office and remote work responsibilities, is crucial for this position. If you are looking for a challenging opportunity that allows you to utilize your expertise in accounts receivable and medical billing while offering a mix of office and remote work, this role could be the perfect fit for you. Apply now and join our dynamic team at M&D Capital.,
Posted 1 week ago
5.0 - 9.0 years
0 Lacs
warangal, telangana
On-site
You should have a minimum of 5 years of Corporate Hospital Experience with an Assistant Manager position, which is a mandatory requirement for this post. Only contact us through message or email at 9059097957 or jimsonatwork@gmail.com. Candidates must have full experience with Suvarna HIMS software. As an IT Assistant/Manager in a hospital, you will be responsible for ensuring the smooth and efficient operation of all IT-related systems within the hospital. This includes hardware, software, network infrastructure, and data management of healthcare IT systems. Your role will involve providing technical support to staff and researchers, designing and implementing new technologies to enhance patient care and operational efficiency. You should be able to plan, execute, guide on configuring and setting up critical medical devices into the hospital network, troubleshoot IT-related issues, and suggest upgrades or improvements to the current infrastructure. Key Responsibilities: - Providing technical support to hospital staff and researchers, troubleshooting issues, and ensuring systems are functioning correctly. - Designing, implementing, and maintaining the hospital's network infrastructure, managing network systems, data security, and ensuring reliable connectivity. - Managing various IT systems, including electronic medical records (EMR), patient administrative systems, and other specialized software. - Identifying, evaluating, and implementing new technologies to enhance hospital operations, improve patient care, and reduce costs. - Ensuring the security and integrity of patient data and other sensitive information, adhering to relevant regulations. - Developing and implementing IT policies and procedures aligned with hospital objectives and regulatory requirements. - Providing training on new systems and applications to hospital staff, managing the IT budget efficiently. - Implementing security measures to protect the hospital's IT infrastructure and data from cyber threats. - Managing relationships with IT vendors, negotiating contracts, and leading IT projects to completion. Key Skills and Qualifications: - Strong technical skills in networking, hardware, software, and data management. - Ability to troubleshoot technical issues and find creative solutions. - Excellent communication skills, both written and verbal, to effectively interact with staff, researchers, and vendors. - Leadership skills to manage a team of IT professionals, plan and execute IT projects. - Familiarity with healthcare IT systems, regulations (HIPAA), and best practices. - Analytical skills to analyze data and identify areas for improvement. - Adaptability to new technologies and changing environments. Working Conditions: - Full-time position with a standard workweek, occasional evening or weekend hours may be required. - Ability to work in a fast-paced, high-pressure environment. - Minimum 5+ years of experience as an IT Manager in reputable corporate hospitals. - At least a B.Tech or equivalent qualification. Contact us only through message or email at 9059097957 or jimsonatwork@gmail.com. (Note: This job posting is directly from the company; no agency is involved) Job Types: Full-time, Permanent Benefits: - Paid sick time Schedule: - Day shift Work Location: In person,
Posted 2 weeks ago
2.0 - 6.0 years
0 Lacs
maharashtra
On-site
eHealth Technologies is a prominent healthcare technology company dedicated to enhancing the delivery of life-changing care. With a proven track record since 2006, we have significantly reduced the time to treatment for millions of patients, earning the trust of leading healthcare systems, HIEs, and CROs across the United States. Our innovative technology and compassionate team streamline the collection, organization, and delivery of medical records, images, and pathology materials, ensuring that care teams have timely access to the necessary resources to facilitate their patients" swift recovery. As a member of the eHealth Technologies Operational Excellence team, you will play a crucial role in leading Quality Analysts across various functional areas. Your primary focus will be to uphold compliance with established processes, procedures, and regulatory standards, while fostering a culture of growth, well-being, and empowerment among team members. This position demands a customer-centric approach, exceptional organizational skills, and a commitment to upholding the company's core values. Your responsibilities will include overseeing Opex management, project execution, and compliance with HIPAA and internal data privacy/security protocols. You will be tasked with conducting audits, identifying areas for improvement, implementing corrective measures, and ensuring strict adherence to established business processes and regulations, particularly HIPAA guidelines. In addition, you will be responsible for driving Operational Excellence initiatives, managing Quality Assurance processes, and collaborating with other departments as needed. Your leadership and supervision duties will involve supporting the company's mission, vision, and values, participating in recruitment processes, hosting team activities, and providing ongoing feedback and recognition to team members. Furthermore, you will monitor individual performance, facilitate training opportunities, and develop performance reviews and goals for Quality Analysts to support their growth and development. Your role will also involve managing reporting activities, prioritizing workload progression, and addressing customer issues as they arise. To excel in this role, you should possess a high school diploma or GED, with a preference for a bachelor's degree in business or a related field. A minimum of two years of relevant experience is required, along with supervisory experience and familiarity with Six Sigma tools. Knowledge of HIPAA regulations, strong communication skills, attention to detail, and the ability to handle multiple tasks are essential for success in this position. In summary, as a key member of the eHealth Technologies team, you will contribute to the company's commitment to delivering exceptional healthcare solutions while upholding the highest standards of quality, compliance, and operational excellence.,
Posted 2 weeks ago
1.0 - 4.0 years
0 - 2 Lacs
Chennai
Work from Office
Role:AR Analyst( Medical Billing background) Exp: 0.6-1 year Salary: 21k Must Have : Resolve issues related to unpaid medical claims, denied claims Review and appeal unpaid and denied claims. Shift:General Location: Chennai Regards Sowmiya 9600445623
Posted 2 weeks ago
1.0 - 5.0 years
0 Lacs
pune, maharashtra
On-site
The Claims Specialist position in Pune requires a candidate with 1+ years of experience and an annual salary of 3.90 LPA. As a Claims Specialist, you will be responsible for accurate entry of patient demographic information, charge entry following the specified procedures, and applying medical billing concepts including knowledge of US Healthcare medical billing rules and insurance guidelines. To excel in this role, you should have a graduate degree with 1-3 years of experience in billing and a good understanding of US Healthcare medical billing rules, abbreviations, and state-specific insurance guidelines. It is essential to maintain high accuracy in charge entry, double-check all entries for completeness and correctness, and conduct thorough charge reviews to ensure revenue generation. Additionally, familiarity with HIPAA regulations and compliance requirements is crucial for this position. The job is full-time with day and morning shifts, and the work location is in person. If you meet these requirements and are looking to utilize your billing experience in a dynamic environment, this Claims Specialist position could be the perfect fit for you.,
Posted 2 weeks ago
0.0 - 3.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Process Executive at our company located in Nungambakkam, Chennai, you will be responsible for handling voice or non-voice tasks related to US healthcare medical billing based on the assigned shift. In the day shift, you will be focusing on non-voice processes, while in the night shift, your role will involve voice processes. Your primary duties will include verifying patient insurance information, updating records accurately, communicating with insurance companies and patients to resolve billing issues, processing medical claims, ensuring timely submission, following up on unpaid claims, and managing accounts receivable. It is imperative that you maintain confidentiality and adhere to HIPAA regulations at all times. As a Trainee in this role, you will receive comprehensive training and will be entrusted with one or more of the aforementioned responsibilities. We are looking for candidates who possess a bachelor's degree in any stream, diploma graduates, or individuals with degrees including backlogs. Freshers or those with less than 1 year of experience in RCM or medical billing and coding are encouraged to apply. Proficiency in Microsoft Office applications and other computer skills is essential for this position. Additionally, candidates with proficiency in English typing and multitasking capabilities will be preferred. Strong English communication skills, attention to detail, and analytical abilities are key attributes that we are seeking in potential candidates. In this role, you will be expected to provide excellent customer service and support to patients and healthcare providers. If you meet the qualifications and are eager to kickstart your career in the healthcare industry, we welcome your application. Join our team and contribute to the efficient processing of medical billing while delivering top-notch service to our clients.,
Posted 3 weeks ago
2.0 - 6.0 years
0 Lacs
ahmedabad, gujarat
On-site
Company Description We suggest you enter details here Role Description This is a full-time on-site role for a Medical Records Coordinator located in Ahmedabad. The Medical Records Coordinator will be responsible for managing medical records, ensuring accuracy and compliance, providing excellent customer service, and collaborating with healthcare professionals to organize and maintain patient information. Qualifications Medical Terminology and Health Information Management skills Customer Service skills Experience in Medicine and Medical Records Attention to detail and organizational skills Ability to work effectively in a team Strong communication skills Knowledge of HIPAA regulations Associate or Bachelor's degree in Health Information Management or related field,
Posted 3 weeks ago
2.0 - 7.0 years
6 - 10 Lacs
Mysuru
Work from Office
Lead the design and development of innovative digital health products. Oversee product lifecycle management from ideation to commercialization. Collaborate with healthcare providers and tech teams to ensure compliance with medical regulations. Must have experience in telemedicine, wearable tech, or AI-driven healthcare solutions. Strong project management and UX design skills are required. Knowledge of FDA and HIPAA regulations is a plus.
Posted 2 months ago
2.0 - 7.0 years
6 - 10 Lacs
Chandigarh
Work from Office
Lead the design and development of innovative digital health products. Oversee product lifecycle management from ideation to commercialization. Collaborate with healthcare providers and tech teams to ensure compliance with medical regulations. Must have experience in telemedicine, wearable tech, or AI-driven healthcare solutions. Strong project management and UX design skills are required. Knowledge of FDA and HIPAA regulations is a plus.
Posted 2 months ago
2.0 - 7.0 years
6 - 10 Lacs
Lucknow
Work from Office
Lead the design and development of innovative digital health products. Oversee product lifecycle management from ideation to commercialization. Collaborate with healthcare providers and tech teams to ensure compliance with medical regulations. Must have experience in telemedicine, wearable tech, or AI-driven healthcare solutions. Strong project management and UX design skills are required. Knowledge of FDA and HIPAA regulations is a plus.
Posted 2 months ago
2.0 - 7.0 years
6 - 10 Lacs
Surat
Work from Office
Lead the design and development of innovative digital health products. Oversee product lifecycle management from ideation to commercialization. Collaborate with healthcare providers and tech teams to ensure compliance with medical regulations. Must have experience in telemedicine, wearable tech, or AI-driven healthcare solutions. Strong project management and UX design skills are required. Knowledge of FDA and HIPAA regulations is a plus.
Posted 2 months ago
2.0 - 7.0 years
6 - 10 Lacs
Agra
Work from Office
Lead the design and development of innovative digital health products. Oversee product lifecycle management from ideation to commercialization. Collaborate with healthcare providers and tech teams to ensure compliance with medical regulations. Must have experience in telemedicine, wearable tech, or AI-driven healthcare solutions. Strong project management and UX design skills are required. Knowledge of FDA and HIPAA regulations is a plus.
Posted 2 months ago
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