60 Hipaa Regulations Jobs

As a Sr. Customer Support Associate in the Technical Support (Blended Process) role at our Rabale MIDC office in Navi Mumbai, your primary responsibility will be to deliver exceptional technical support and customer service through voice, email, and chat channels. If you have at least 2 years of experience in Technical Support or Customer Service for International BPOs and possess excellent communication skills with a neutral accent suitable for US-based interactions, we encourage you to apply. **Roles & Responsibilities:** - Provide outstanding technical support and customer service through voice, email, and chat. - Troubleshoot and resolve customer issues accurately and professionally, fol...

Role Overview: As a Medical Coding Trainer at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be training coders to accurately assign medical codes, ensuring compliance with coding guidelines and regulations. You will stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research. Additionally, you will actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards. It is crucial to uphold strict patient confidentiality and privacy standards in strict compliance with HI...

As an IT support specialist at our company, your primary responsibilities will include: - Configuring Windows and Mac based computers - Monitoring system issues through RMM platform - Managing and maintaining Active Directory - Patching servers and critical systems during maintenance windows - Identifying and resolving security and performance issues through system reviews - Auditing systems for compliance with HIPAA and SEC regulations - Implementing scripting solutions for task automation - Handling change requests for various services and systems - Optimizing network deployments including switches, access points, and routers - Configuring and monitoring network firewall assets - Conductin...

As a member of the InfoWryt Solutions LLP team, you will play a crucial role in delivering exceptional healthcare solutions and enhancing the patient experience. Join us in our mission to make a difference in healthcare by utilizing your skills and contributing to our success. **Key Responsibilities:** - Greet and assist patients and visitors in a friendly manner. - Manage front desk operations and maintain a professional environment. - Schedule patient appointments and handle inquiries promptly. - Verify patient insurance information and collect necessary fees. - Ensure the accuracy of patient records and documentation. - Assist medical staff with administrative tasks as needed. - Coordinat...

As a Medical Billing Specialist, you will play a crucial role in ensuring the prompt and accurate processing of claims. Your responsibilities will include: - Investigating and resolving denied or rejected claims by identifying reasons for denial, rectifying errors, and resubmitting claims when necessary. - Collaborating closely with the billing and coding teams to guarantee the correct adjudication of claims. - Identifying discrepancies and promptly escalating issues to the relevant personnel for resolution. - Keeping the management team informed with regular updates to facilitate financial analysis and decision-making. - Upholding patient confidentiality and safeguarding sensitive financial...

As a certified nursing professional, you must hold a valid Indian medical/nursing degree (GNM/B.Sc Nursing/MBBS/BAMS/BHMS). Additionally, you should possess 12 years of experience in a supervisory or quality role within a US healthcare BPO/KPO process, particularly in areas such as claims, RCM, or utilization review. Having a strong understanding of US healthcare workflows, including claims adjudication, prior authorization, clinical documentation, and medical coding, is highly preferred. Your role will require excellent medical judgment and clinical knowledge to support case reviews, escalations, and documentation validations. Effective communication skills are essential for liaising betwee...

Job Summary: We are seeking a reliable and detail-oriented Virtual Medical Assistant (VMA) to join our healthcare team. The VMA will be responsible for handling patient communications, managing electronic health records (EHR), and providing administrative support to physicians and nurses. The role involves facilitating patient interactions related to appointment scheduling, medication follow-up, lab results, and authorizations for prescriptions and treatments. The ideal candidate will have strong communication skills, a good understanding of medical procedures, and experience in dealing with prior authorizations. Key Responsibilities: Patient Communication: Handle patient phone calls related...

Role Overview: You will be working as a Quality Assurance Analyst and Trainer for Medical Coding at LexiCode. Your role will involve reviewing assigned medical codes for accuracy and ensuring compliance with coding guidelines and regulations. You will be part of a dynamic team of coding experts dedicated to delivering exceptional coding services to clients. Key Responsibilities: - Thoroughly review and analyze medical records to identify pertinent diagnoses & procedures. - Review Medical codes for accuracy to ensure codes precisely reflect clinical documentation. - Ensure the integrity and precision of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best p...

In this role as a healthcare professional, your primary responsibility will be to provide patient care while ensuring compliance with standards. You will need to recognize and prioritize patient needs in alignment with physician instructions. Responsibilities: - Ensure quality care by adhering to physicians" standards - Educate patients on care procedures, whether in person or via phone - Maintain compliance with regulations such as OSHA, FDA, and HIPAA Qualifications: - Registered Professional Nurse with valid licensure - Certification in CPR, ACLS, and BCLS - Familiarity with OSHA, FDA, and HIPAA regulations - Ability to lift and position patients on endoscopy stretcher and provide transpo...

Job Description: You should be strong in reviewing EOB. You should have experience in ERA & EFT. You should have worked in Manual Post & Auto post. You should have exposure towards reconciliation and adjustments. You must maintain the confidentiality of patient information and adhere to HIPAA regulations. Key Responsibilities: - Should be strong in reviewing EOB - Should have experience in ERA & EFT - Should have worked in Manual Post & Auto post - Exposure towards reconciliation and Adjustments - Maintain confidentiality of patient information and adhere to HIPAA regulations Qualification Required: - Graduates from any stream can apply,

As an AR caller / Sr. AR caller at Shiash Info Solutions, you will play a crucial role in accounts receivable management within the healthcare domain. Your responsibilities will include: - Managing accounts receivable processes in the healthcare sector - Utilizing knowledge of medical billing practices - Demonstrating strong communication and negotiation abilities - Ensuring attention to detail and accuracy in handling denials, RCM, and the End to End process - Working efficiently under pressure to meet deadlines - Proficiency in using billing software and Microsoft Office tools - Understanding insurance claim processes and guidelines - Handling denial management and appeals effectively - Ad...

Role Overview: As a Medical Billing Specialist, your primary responsibility will be to identify and address denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary. You will work closely with the billing and coding teams to ensure proper claim adjudication. Additionally, you will be responsible for identifying any discrepancies, escalating issues to the appropriate personnel for resolution, providing regular updates to the management team for financial analysis, and maintaining patient confidentiality. Key Responsibilities: - Investigate denied or rejected claims, correct errors, and resubmit claims as necessary - Collaborate ...

As an AR Caller in our company, your role involves conducting thorough follow-up on outstanding claims through various channels such as phone, email, eFax, and online portals to ensure timely resolution. You will be responsible for analyzing claim denials, identifying trends, and initiating appeals to recover denied or underpaid claims. Collaboration with internal departments to address/direct billing, coding, and claim submission issues is a key aspect of your responsibilities. It is essential to maintain accurate and detailed documentation of all interactions, actions taken, and account status. Additionally, adherence to strict HIPAA regulations to protect patient confidentiality is crucia...

Role Overview: As a Billing Executive (Voice Dental RCM) in the night shift, your main responsibility will be to communicate with Dental Insurance to gather details about the patient's dental policy benefits and the status of any outstanding dental claims. It is crucial for you to have a comprehensive understanding of Dental Billing operations to excel in this role. Key Responsibilities: - Interact with patients" Dental Insurance to inquire about benefit information and outstanding claims - Interpret additional guidelines that may impact coverage - Collect benefit information using the specified template Qualifications Required: - At least an Undergraduate or Graduate degree - Prior experien...

As a Coding OP in India at Guidehouse, your role involves monitoring, directing, and evaluating coding production on a daily basis. You will ensure that daily schedules are met, communicate effectively with the US Operational Manager and Coding Operations, and implement measures to return to established coding schedules in case of delays due to system issues or emergencies. It is essential to identify operational priorities, adjust coders and staff as necessary, and maintain a constant flow of work to meet delivery schedules while considering quality and compliance. Key Responsibilities: - Monitor, direct, and evaluate coding production daily - Communicate effectively with US Operational Man...

Role Overview: As a Medical Coder at LexiCode, you will be part of a dynamic team of coding experts dedicated to providing exceptional coding services to clients. Your main responsibility will involve accurately assigning medical codes in compliance with coding guidelines and regulations. Key Responsibilities: - Thoroughly review and analyze medical records to identify relevant diagnoses & procedures. - Accurately assign medical codes to reflect clinical documentation precisely. - Ensure the accuracy and integrity of coded data. - Stay updated on evolving coding guidelines, regulations, and industry best practices through continuous research. - Actively participate in coding audits and quali...

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 tec...

Key Responsibilities: Communicate with clients to address day-to-day information requests and resolve lower-level billing-related issues promptly. Handle escalated billing responsibilities, including co-insurance, Medicare Part B, therapy filings, and claims for multiple facilities. Ensure claims compliance with Medicare, Medicaid, and private insurance guidelines while maintaining high accuracy in coding and submissions. Provide detailed and reliable reports on billing activity. Act as a Team lead for certain operational tasks, such as monitoring billing performance metrics and assisting with budget management for assigned facilities. Mentor and support less experienced team members, provid...

Role Overview: You will be joining Sinex Management Pvt Ltd, a company specializing in providing comprehensive medical billing and revenue cycle management services to healthcare providers. Your primary goal will be to optimize revenue, minimize claim denials, and streamline billing processes to allow medical professionals to focus on patient care. By leveraging the expertise of our billing specialists, you will ensure accurate claim submissions, timely reimbursements, and adherence to industry standards. Our tailored solutions cater to various healthcare settings, such as small clinics, group practices, and independent physicians, to enhance cash flow and reduce administrative burdens. Key ...

As a Coding OP in India, your primary role will be to monitor, direct, and evaluate daily coding production. You will ensure that daily schedules are met, communicate with the US Operational Manager and Coding Operations in case of any hindrances in meeting deadlines, and implement measures to return to established coding schedules promptly. Your responsibilities will include identifying operational priorities, adjusting staff as necessary to ensure a constant workflow, emphasizing productivity goals, tracking performance, and ensuring timely responses to client mails. Key Responsibilities: - Monitor, direct, and evaluate daily coding production - Communicate effectively with the US Operatio...

You should have basic knowledge of the entire Revenue Cycle Management (RCM). It is essential to have a good understanding of the current Medicare Compliance and HIPAA regulations. You must be able to prioritize the follow-up claims and check the appropriateness of the follow-up dates. Additionally, you should be capable of initiating appropriate action, including preparing and sending appeal packages. This is a full-time, permanent position with benefits such as cell phone reimbursement and Provident Fund. The schedule for this role is during the night shift. There are also performance bonuses and yearly bonuses offered. The work location for this position is in person.,

Clinical Excel Computech is hiring for the role of AR Executive (Insurance/Billing/Credentialing) Location: Ahmedabad Shift Timings: Night Shifts; Fixed off on Saturday and Sunday Key Responsibilities: Handle Accounts Receivable activities related to insurance claims, billing, and credentialing processes for dental practices. Review and analyze claims for accuracy and compliance with insurance requirements. Follow up on unpaid claims and ensure timely resolution. Work with dental RCM software such as Dentrix, Open Dental, Curve Hero, and Denticon. Ensure compliance with HIPAA regulations and maintain patient confidentiality. Communicate effectively with internal teams and external stakeholde...

As a Bilingual Customer Service Representative at Master Billing LLC, a specialized dermatology billing company, your primary responsibility will be to assist patients and providers with billing inquiries in both English and Spanish. You will play a crucial role in ensuring accurate and timely billing services while providing exceptional customer support. Your key responsibilities will include responding to incoming calls, emails, and messages from patients and providers, resolving billing questions and disputes, collaborating with the billing and coding team, documenting patient interactions accurately, and staying updated on insurance regulations and dermatology billing codes. Maintaining ...

As an AR caller or Senior AR caller at Shiash Info Solutions, you will be responsible for managing accounts receivable in the US healthcare domain. Your role will involve handling billing for physicians and hospitals in the Chennai office (Work From Office). We are looking for candidates with 1 to 3.5 years of experience in this field, and immediate joiners are preferred. To excel in this role, you must have a minimum of 1 year of experience as an AR caller. Your responsibilities will include understanding medical billing processes, communicating effectively, and negotiating with clients. Attention to detail is crucial, especially in handling denials, revenue cycle management, and the end-to...

As a Cardiac Technologist, you will be responsible for performing various cardiac diagnostic tests such as electrocardiograms (ECGs), stress tests, and echocardiograms on patients. Your role involves preparing patients for procedures, monitoring their vital signs during tests, and operating specialized cardiac imaging equipment. It is crucial to maintain accurate patient records and adhere to strict safety protocols and quality standards at all times. Your key responsibilities will include patient preparation, where you will obtain patient medical history, explain procedures clearly, position patients correctly, and apply necessary electrodes. Monitoring vital signs before, during, and after...