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12.0 - 16.0 years
0 Lacs
nagpur, maharashtra
On-site
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...
Posted 1 week ago
0.0 - 3.0 years
0 Lacs
ahmedabad, gujarat
On-site
Qodoro BPM Private Limited is a rising Offshore Support company based in New York City, with operations in Ahmedabad, India. We specialize in providing recruitment and accounting services to staffing companies globally, along with Medical and Dental Billing services for hospitals and clinics. **About the Role:** **Role Overview:** As an Accounts Receivable at Qodoro, you will be working collaboratively with a cross-functional Medical and Dental billing team to deliver high-quality billing services to clients during the US shift from Monday to Friday. **Key Responsibilities:** - Responsible for calling Insurance companies in the US and following up on outstanding Accounts Receivable - Possess...
Posted 1 month ago
0.0 - 3.0 years
0 Lacs
punjab
On-site
As an AR Caller (Accounts Receivable Caller) in the US Healthcare Process at Mohali, you will be responsible for the following: - Minimum 6 months to 2 years of experience in AR calling for US healthcare clients is preferred. - Excellent verbal and written English communication skills. - Strong attention to detail, analytical ability, and proficiency in MS Office (Excel knowledge mandatory). - Willingness to work in night shifts and work from the office. - Any degree or diploma required; knowledge of healthcare terminology and ICD/CPT codes is an advantage. - Experience with medical billing software (such as eClinicalWorks/ECW) is preferred. Immediate joiners preferred. The company offers a ...
Posted 1 month ago
2.0 - 7.0 years
0 Lacs
kochi, kerala
On-site
Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference. Record after-call actions and perform post-call analysis for the claim follow-up. Assess and resolve inquiries, requests, and complaints through calling to ensure that customer inquiries are resolved at the first point of contact. Provide accurate product/service information to the customer, research available documentation including authorization, nursing notes, medical documentation on the client's systems, interpret explanation of benefits received, etc prior to making the call. The ideal candidate should have 2-7 years of exp...
Posted 2 months ago
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