97 Hippa Regulations Jobs - Page 3

Role & responsibilities • Quickly and efficiently respond to incoming calls and faxes, identify how best to assist. • Conduct outbound calls of insurance verifications to understand if patients prescribed therapy is eligible for coverage. Document results in appropriate tracking system. • Document calls in appropriate tracking systems, and handle/escalate calls per established procedures. • Process patient applications and follow the program's specifications to determine their eligibility. Document results in appropriate tracking system and manage follow-ups as appropriate. Place follow-up calls and respond to enquiries from patients and/or healthcare providers as necessary. • Maintain a pro...

Role: AR Caller(Account Receivable) Process: International Voice Process Experience : Freshers Location: Chennai Shift: Night Shift Package : 3LPA Qualification : Any Graduate Regards, Prabhakaran Please share your CV to this number 6381236843

Job Title: Compliance Specialist U.S. Healthcare Billing Location: Faridabad Department: Compliance / Revenue Cycle Management Reports To: Compliance Manager Employment Type: Full-Time Job Summary: We are seeking a detail-oriented and knowledgeable Compliance Specialist to oversee and ensure adherence to regulatory standards in the U.S. healthcare billing process . The ideal candidate will have a strong understanding of HIPAA , ISO 27001 , and SOC 2 compliance frameworks, and will be responsible for implementing, monitoring, and improving compliance programs to safeguard patient data and ensure billing integrity. Key Responsibilities: Monitor and maintain compliance with HIPAA Privacy and Se...

Responsibilities: Ensure compliance with HIPAA & medical transcription standards. AP/AR with accurate coding Perform CPT/CPC coding Coordinate with insurers for timely reimbursements Maintain confidential documentation per regulations. Provident fund

As a Certified Medical Coder specializing in Hierarchical Condition Category (HCC) coding, you will be instrumental in maintaining the precision and reliability of our home healthcare data. Your main duty involves reviewing medical records and assigning the appropriate codes for diagnoses and procedures. Collaborating closely with healthcare providers is essential to ensure adherence to all coding standards and regulations. Your responsibilities will include meticulously reviewing and coding medical records according to ICD-10 and CPT guidelines, working with healthcare providers to address coding inconsistencies, staying abreast of coding and compliance updates, assisting in data analysis a...

You will be responsible for auditing medical billing, coding, and documentation processes. Your role is vital in identifying billing errors, reducing denial rates, and ensuring adherence to CMS, HIPAA, payer-specific guidelines, and internal SOPs

Hiring for AR caller profile for One of the leading MNC's. Required 12 months of experience in AR follow-up for US healthcare. Salary Up-to 45K In-hand Saturday Sunday Fix Off Both side Cabs To Apply, Call or WhatsApp CV on ANISHA - 9354076916 Required Candidate profile 1. Minimum 12 months of experience in AR Calling. 2. Excellent communication skills, both verbal and written. 3. Familiarity with medical billing and Denial Management. Perks and benefits Both side Cabs, Meals and Medical Insurance.

Job Description: The IT MSSQL Database Administrator plays a crucial role in managing and maintaining the Microsoft SQL Server databases within the organization's IT infrastructure. This role requires a deep understanding of database management principles, strong technical skills, and the ability to collaborate effectively with various teams. Responsibilities: Database Installation and Configuration: Install, configure, and maintain Microsoft SQL Server instances across multiple environments, ensuring optimal performance and reliability. Database Monitoring and Optimization: Monitor database performance and identify opportunities for optimization, such as query tuning, index optimization, an...

Role: Program Specialist (Voice Process) About the Role The Program Specialist is responsible for serving as the customers primary point of contact providing operational and reimbursement support to complex programs within company , including but not limited to, marketing support, reimbursement hotlines, patient assistance programs, Hubs, foundations, safety surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, being on the phones...

AR Caller - Noida The successful candidate will be responsible for handling and resolving claims, managing account receivables, and ensuring prompt collections in line with US healthcare policies and regulations. Contact:- Jasmine HR (8586072614)

Role & responsibilities : Conduct thorough and detailed cyber risk assessments for our clients, analyzing their digital infrastructure, systems, and security controls. Collaborate with cross-functional teams to gather essential information and data required for comprehensive risk assessments. Evaluate and interpret assessment results to identify potential vulnerabilities and risks, and provide actionable recommendations for risk mitigation. Stay up-to-date with the latest cyber threats, attack vectors, and industry best practices to enhance the effectiveness of risk assessments. Prepare and deliver clear and concise reports summarizing the findings of risk assessments to clients and internal...

We are looking for a person who will be handling regulatory compliance of the company. He /she will be responsible to adhere law & regulations, guidelines as per govt. policies & law. You will be responsible tp perform core compliances and ethics.

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Responsibilities: Pull daily banking for multiple clients Enter deposits into the reconciliation logs Process timely and accurate posting of all charges Post all Charges within 24 hours Meet strict posting deadlines to ensure that Charges Posting Manager can complete weekly and monthly reporting requirements Communicate all payer issues to the Charges Posting Manager Understand payer contract with all rules that apply to that specific payer and client Maintain professional and consistent communication with the team and clients to ensure that all needed items are received in a timely manner Identify patterns and trends that indicate a potential issue Other responsibilities as assigned Require...

Hiring for AR Callers & Prior Authorization Process Hyderabad, Chennai & Mumbai Role: AR Caller / Prior Authorization Executive Experience: Minimum 1+ Year in AR Calling & Prior Authorization Process Work Mode: Work from Office Locations: Hyderabad | Chennai | Mumbai Notice Period: Immediate Joiners Preferred (Relieving Letter Not Mandatory) Shift: Night Shift (US Healthcare Process) Package: Up to 40,000 Take-home Incentives 2-Way Cab Facility Qualification: Intermediate & Above Job Description: We are hiring experienced professionals in AR Calling and Prior Authorization with a strong understanding of the US healthcare process. Candidates must have at least one year of relevant experience ...

New requirement - Associate , Analyst - GRC Work Location : Jui Nagar, Navi Mumbai Job Description : Assist in conducting audit engagements to ensure compliance with standards and frameworks such as ISO 27001, PCI DSS, SOC 2, CISA and GDPR. Support the planning, execution, and reporting of audits under the supervision of senior auditors. Gather and analyze evidence to evaluate client compliance and provide initial recommendations. Detailed Responsibilities : Conduct audits based on defined standards, collecting and verifying evidence. Perform control testing, evaluate processes, and identify compliance gaps. Assist in evaluating policies, procedures, and systems for compliance Draft sections...

We Are Hiring for AR Caller, Prior Auth Executives, EVBV Executives || Loc :- Hyderabad, Mumbai & Chennai Hyderabad - AR Callers & EVBV Porcess 1. Experience - Min 1 year into ar calling Package - Max Up to 33k Take Home Qualification - Inter & Above Notice Period :- Immediate Joiners/ Relieving is not Mandate Cab - 2 Way Cab Virtual Interviews 2. Experience - Min 1 year into EVBV Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Notice Period :- 0 to 60 Days / Relieving is Mandate Cab - 2 Way Cab Virtual Interviews Mumbai - AR Callers & Prior Auth 1. Experience - Min 9 Months Exp into ar calling Package - Max Upto 40k Take Home Qualification - Inter & Above Notice Period :- Immedi...

Responsibilities: * Manage accounts receivable calls: denial management & handling * Execute revenue cycle processes: claims processing, payment posting, charge posting * Adhere to HIPAA compliance standards Cafeteria Travel allowance House rent allowance Office cab/shuttle Accessible workspace Health insurance Provident fund

We are seeking an experienced and highly motivated professional to join our team as a Revenue Cycle Services Manager , focusing on Inpatient Rehabilitation Facility (IRF) and Long-Term Acute Care Hospitals (LTACHs) billing. The ideal candidate will bring strong domain knowledge, leadership ability, and a track record of driving results through effective revenue cycle operations. Excellent communication, stakeholder coordination, and compliance management are essential. Role & responsibilities Manage full scope of RCM operations, including billing, denials, collections, AR management, and reporting. Collaborate with clients to define goals, resolve escalations, and improve service delivery. T...

WE ARE HIRING - AR CALLER - Mumbai, Hyderabad Experience :- Min 1 year into AR caller Mumbai Location :- Package : Max Upto 40k take home Qualification : inter & above Hyderabad Location :- Package : Max Upto 33k take home Qualification : graduation Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available WE ARE HIRING - Prior Authorization - Mumbai, Chennai Experience :- Min 1 year into Prior Authorization Mumbai Location :- Package : Max Upto 4.6 Lpa Qualification : Graduate Mandate Chennai Location :- Package : Max Upto 40k Qualification : Inter & above Shift Timings :- 6:30 PM to 3:30 AM WFO Virtual and Walk-in interviews available Perks and Benefits 1. 2 way cab ...

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 ( 10 am to 6 pm ) Everyday Contact person VIBHA HR ( 9043585877 ) Interview time (10 am to 6 pm) Bring 2 updated resumes Refer( HR Name VIBHA ) Mail Id : vibha@novigoservices.com Call / Whatsapp (9043585877) Refer HR VIBHA Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter VIBHA Novigo Integrated Services Pvt Ltd,Sai Sadhan, 1st Floor, TS # 125...

Job Title: Trainer Healthcare Voice Process Location: Bangalore, India Job Type: Full-Time Shift: Fixed Night Shifts We are seeking an enthusiastic and skilled Trainer to join our healthcare contact center team in Bangalore This role is ideal for candidates with excellent voice and communication skills, a passion for training, and a strong understanding of healthcare voice processes As a Trainer, you will be responsible for preparing and upskilling agents to deliver exceptional service to healthcare members and providers In This Role You Will Conduct training sessions for new hires and existing team members on healthcare voice processes, customer service skills, and compliance protocols Deve...

Hiring: Team Lead Revenue Cycle Management (RCM) Location: Kothrud, Pune Shift: Day/Night | Work Mode: Work from Office Salary: As per experience and industry standards We are looking for a Team Lead with 35 years of experience in Revenue Cycle Management, including claim submission, denial management, AR follow-up, and team handling. Key Responsibilities: Lead and manage a team of RCM specialists Handle claim submissions, payment posting, and denial resolutions Work on AR reports and improve cash flow Ensure compliance with payer and healthcare regulations Generate reports and drive process improvements Requirements: 35 years of RCM/medical billing experience Strong knowledge of CPT, ICD-10...

We're Hiring: Business Development Executive, US Healthcare (Medical Billing & Credentialing) Location: Manekbaug, Ahmedabad 380015 (Relocating soon to Prahladnagar) Shift: US Shift (Night Shift) Work from Office Apply at: hr@collabglobus.com Company: Collab Softech Pvt Ltd. (www.collabsoftech.com.au) Experience Required: 13 Years At Collab Softech , we are expanding our presence in the US Healthcare outsourcing industry and are looking for a dynamic Business Development Executive to help us scale. If you have experience in Medical Billing, Credentialing, or RCM , and are driven by targets and client success, this opportunity is for you. Key Responsibilities: Identify and engage potential cl...

Roles & responsibilities Implementation & Support Expert EHR & RCM Location : Ahmedabad Work Hours : US Shift (Night shift, Monday to Friday) Work Mode : Work from Office Language Requirement : Excellent written and spoken English Role Overview We are seeking a medically qualified professional to join our Implementation and Support team. This role supports US-based healthcare clients with the setup, training, and support of Electronic Health Record (EHR) and Revenue Cycle Management (RCM) software. The ideal candidate must be fluent in English and comfortable working in night shifts from our Ahmedabad office. Key Responsibilities Implementation (EHR & RCM) Understand client requirements and ...