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3.0 - 7.0 years
0 Lacs
hyderabad, telangana
On-site
As a Medical Doctor, your main responsibility will involve the processing of health claims according to the standard operating procedures and guidelines provided. It is essential to achieve the expected productivity on a daily basis while maintaining high-quality standards. You will need to be vigilant in identifying fraud triggers and possible leakages to prevent any misuse. - Have a thorough understanding of health claims processing. - Stay updated with the latest regulations and their implications. - Adhere to prescribed turnaround times for each category. - Possess comprehensive medical knowledge and proficiency in clinical treatment protocols. - Interpret and analyze information related...
Posted 3 weeks ago
2.0 - 4.0 years
0 Lacs
pune, maharashtra, india
On-site
Position Details: - Designation: Associate Healthcare Coordinator - Location: Viman Nagar - Pune - Qualification: Degree/Diploma in MLT, DMLT, or B.Sc.-MLT. - Experience: 2 years & Above - Salary Range: 2,50,000* 3,00,000* (per annum) Required Qualifications Diploma/Degree in Medical Laboratory Technology (MLT) or equivalent paramedical qualification Strong understanding of OPD/IPD workflows, surgical terms, and diagnostic procedures Familiarity with LOINC, CPT, ICD codes and other medical classification systems Basic proficiency in Excel and data handling tools Experience in healthcare, diagnostics, or insurance domain preferred Roles and Responsibilities: This position fosters collaboratio...
Posted 1 month ago
1.0 - 5.0 years
0 Lacs
hyderabad, telangana
On-site
As a Sr. Associate/Associate - AR Calling at Medco Global Services, you will be responsible for analyzing account receivables due from U.S. healthcare insurance organizations and initiating necessary follow-up actions to ensure reimbursement, including undertaking denial and appeal management protocol. **Key Responsibilities:** - Analyze outstanding claims and initiate collection efforts based on aging report to facilitate claims reimbursement. - Undertake denial follow-up and appeals to resolve outstanding issues. **Qualifications Required:** - Strong knowledge in Revenue Cycle Management (RCM) and Denial Management. - Expertise in analyzing trends in CPTs, Modifiers & ICD codes. - Proficie...
Posted 1 month ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
As a Deep Learning Engineer at SeaportAI, you will be responsible for utilizing your expertise in deep learning frameworks, programming, model development, healthcare data handling, MLOps basics, and problem-solving mindset to contribute towards building innovative solutions in the healthcare industry. **Key Responsibilities:** - Design and train deep learning models specifically tailored for medical imaging, diagnostics, and predictive healthcare analytics. - Collaborate effectively with clinicians, product teams, and data scientists to convert complex healthcare challenges into actionable AI solutions. - Handle and analyze real-world healthcare data such as images, time-series data, and El...
Posted 1 month ago
2.0 - 5.0 years
3 - 5 Lacs
mumbai suburban
Work from Office
Summary: The Prior Authorization Executive will be responsible for initiating and securing prior authorizations from insurance companies for medical services. This role involves coordinating with clinical teams and payers to ensure services are approved timely, enabling uninterrupted patient care. Key Responsibilities: Initiate and follow up on prior authorization requests for procedures, medications, and services. Communicate with insurance payers via phone, fax, or portals to obtain approvals. Coordinate with physicians, clinical staff, or scheduling teams for required documentation. Use payer portals such as Availity, Navinet, and others to track auth status. Maintain detailed records of ...
Posted 1 month ago
0.0 years
0 Lacs
noida, uttar pradesh, india
On-site
Inviting applications for the role of Management Trainee, Accounts Receivable (AR) Specialist - RCM (Revenue Cycle Management) We are looking for a proactive and passionate Accounts Receivable (AR) Specialist with some years of hands-on experience in the US healthcare AR process within a healthcare BPO or outsourcing setup. The ideal candidate should be confident in working denials and unpaid claims, speaking with payors to resolve issues, and driving resolution for timely reimbursements. This role demands strong analytical skills, clear communication, and a goal-driven mindset. Responsibilities Review and analyze outstanding Accounts Receivable reports to identify unpaid claims. Initiate fo...
Posted 1 month ago
0.0 years
0 Lacs
chennai, tamil nadu, india
On-site
About the Role We are hiring AR Callers (Accounts Receivable) to join our growing healthcare revenue cycle team. As an AR Caller, you will be responsible for making calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers. Key Responsibilities Make outbound calls to insurance companies (US Healthcare process) to follow up on pending claims. Review denied / underpaid claims and take appropriate action for resolution. Understand insurance guidelines, medical billing, and AR workflows. Document all interactions accurately in the system. Meet daily productivity and quality targets. Work collaboratively with the billing t...
Posted 1 month ago
2.0 - 7.0 years
1 - 4 Lacs
kochi
Work from Office
Designation : Medical Coder Full Time Opportunity Location : Multiple Job Description : Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor'...
Posted 2 months ago
2 - 6 years
2 - 6 Lacs
Gurugram
Work from Office
Essential Duties and Responsibilities: Must be on current role of team handling for minimum 1.5 years Great knowledge AR/Credit up or end-to-end knowledge Should be aware of all type of payers. Must have good understanding of payer portal for benefits & denials. Should have great verbal and written communication skills, probing skills and denials understanding Open for night shift and WFO No Planned leaves for next 6 months. Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both written & verbal) . Skill Set: Candidate should be good Healthcare knowledge. C...
Posted 5 months ago
2.0 - 7.0 years
2 - 4 Lacs
kerala
Work from Office
Assign codes to diagnoses and procedures, using ICD and CPT codes - Ensure codes are accurate and sequenced correctly in accordance with Government and Insurance regulations - Follow up with the provider on any documentation that is insufficient or unclear - Communicate with other clinical staff regarding documentation - Search for information in cases where the coding is complex or unusual - Receive and review patient charts and documents for accuracy - Review the previous day's batch of patient notes for evaluation and coding - Ensure that all codes are current and active Skills/Experience : - Bachelor's degree in Life Sciences, Pharmacy, Biotechnology, Nursing - Strong knowledge of Anatom...
Posted Date not available
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