7 Insurance Background Jobs

Black And White Business Solutions is seeking a skilled Charge Entry specialist with expertise in Physician Billing . This role requires strong experience in multi-specialty charge entry , proficiency in E&M coding , and a solid understanding of insurance verification and billing workflows . The ideal candidate will possess excellent attention to detail and strong communication skills, ensuring accurate and compliant billing processes for our clients. Must Have Skills Experience in physician billing and multi-specialty charge entry : Proven hands-on experience in accurately entering charges for physicians across various medical specialties. Proficiency in E&M coding and familiarity with CPT/ICD-10/HCPCS codes : Strong understanding and practical application of Evaluation and Management (E&M) coding, along with knowledge of CPT (Current Procedural Terminology), ICD-10 (International Classification of Diseases, 10th Revision), and HCPCS (Healthcare Common Procedure Coding System) codes. Strong understanding of insurance verification and billing workflows : In-depth knowledge of processes involved in verifying patient insurance eligibility, benefits, and the end-to-end billing cycle. Experience using billing and EMR software (Athena, Kareo, eClinicalWorks, NextGen, etc.) : Practical experience with various commonly used medical billing and Electronic Medical Record (EMR) software systems. Excellent attention to detail and data accuracy : Meticulous approach to reviewing documentation and entering data, ensuring high levels of precision to minimize errors. Strong communication skills (verbal and written) : Ability to communicate clearly and professionally with colleagues, physicians, and other stakeholders regarding billing inquiries and documentation needs. Good to Have Skills Knowledge and expertise in physician billing and multi-specialty charge entry : Comprehensive understanding and advanced proficiency in the intricacies of physician billing and charge entry across diverse medical specialties. Roles and Responsibilities Accurately enter physician charges into the billing system based on clinical documentation, ensuring all services rendered are captured. Apply correct E&M (Evaluation and Management) codes, CPT, ICD-10, and modifiers in strict compliance with payer rules and official coding guidelines. Process charge entries across multiple specialties , including but not limited to internal medicine, cardiology, orthopedics, etc., demonstrating versatility. Validate provider documentation to ensure it is complete, supports the services billed, and adheres to compliance standards. Verify insurance coverage and eligibility prior to billing to prevent denials, confirming patient benefits and responsibilities. Confirm plan details, policy status, coordination of benefits (COB), and pre-authorization requirements , ensuring all necessary approvals are in place. Document verified insurance information in the system accurately and comprehensively for future reference and audit trails. Review and enter accurate patient information , including name, date of birth, address, insurance ID, and guarantor details, to maintain clean patient demographics. Maintain HIPAA compliance and ensure completeness of registration data to avoid front-end denials , protecting patient privacy and ensuring data quality. Follow payer-specific guidelines meticulously for E&M coding and charge processing to maximize clean claim submission rates. Coordinate with coding teams or physicians for clarification on incomplete or ambiguous medical records, facilitating accurate charge capture. Report any issues related to documentation or insurance to the team lead/supervisor promptly, ensuring quick resolution and process improvement. Qualification Any Graduate and Undergraduate CTC Range 3 to 4.8 LPA (Lakhs Per Annum) Notice Period Immediate Interview Mode Virtual Contact: Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 Email: [HIDDEN TEXT] | Website: www.blackwhite.in

Black And White Business Solutions is seeking a skilled AR Caller - Denial Management to join our team. This role is crucial for managing and resolving insurance claim denials efficiently. The ideal candidate will have a strong understanding of denial reasons and appeal processes, coupled with excellent communication and problem-solving skills, to ensure maximum revenue recovery and seamless operations. Must Have Skills Experience as an AR Caller in Denial Management : Proven background in Accounts Receivable (AR) calling, specifically focused on the resolution of denied claims. Good understanding of denial reasons (CO, OA, PR codes) and appeal processes : In-depth knowledge of common denial codes (Contractual Obligation, Other Adjustments, Patient Responsibility) and the ability to navigate complex appeal procedures. Familiarity with healthcare insurance terminology, CPT/ICD coding basics : Basic understanding of terms used in healthcare insurance and foundational knowledge of CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding. Strong analytical and problem-solving skills : Ability to thoroughly analyze denied claims, identify root causes, and develop effective strategies for resolution. Excellent communication skills (both verbal and written) : Clear and professional communication to interact effectively with insurance companies and document interactions. Proficiency in working with RCM software/tools like EPIC, Athena, eClinicalWorks, etc. : Hands-on experience with popular Revenue Cycle Management (RCM) software and tools to manage claims and denials. Typing speed of at least 30 WPM with accuracy : Efficient typing skills to ensure quick and accurate data entry and documentation. Ability to multitask and meet deadlines under pressure : Capability to handle multiple denied claims simultaneously and ensure timely resolution within set targets. Good to Have Skills Knowledge and expertise in AR Caller in Denial Management : Comprehensive understanding and advanced proficiency in the processes and best practices related to AR calling for denial management. Roles and Responsibilities Review and analyze insurance claim denials from various payers, understanding the specific reasons for denial. Make outbound calls to insurance companies to proactively resolve denied or unpaid claims, advocating for appropriate reimbursement. Identify the root cause of denials (e.g., coding errors, eligibility issues, authorization lapses, medical necessity), performing detailed investigations. Take appropriate actions such as preparing and filing appeals, making necessary claim corrections, or rebilling claims to ensure proper processing. Document all activities accurately in the client system or internal tools, maintaining clear and concise records of interactions and resolutions. Follow-up on pending claims within the specified Turnaround Time (TAT), ensuring consistent progress towards claim resolution. Communicate effectively with insurance representatives and escalate complex issues to supervisors or other departments when needed, ensuring timely attention to challenging cases. Work collaboratively with internal teams (such as coding and billing) to identify and resolve recurring denial trends, contributing to process improvements. Stay updated with payer-specific guidelines and industry regulations (e.g., HIPAA compliance) to ensure all denial management activities adhere to current standards. Qualification Any Graduate and Undergraduate CTC Range 3 to 4.8 LPA (Lakhs Per Annum) Notice Period Immediate Interview Mode Virtual Contact: Amala Subject Matter Expert Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432406 Email: [HIDDEN TEXT] | Website: www.blackwhite.in

As a Video & Tele-Medical Doctor, you will be responsible for conducting tele consultations, specifically video/tele evaluations for pre-policy medical assessments. Your main duties will include communicating effectively with customers, assessing their pre-existing conditions and family medical history, and accurately documenting information in medical examination report forms. It is crucial to ensure compliance with insurer regulations and maintain consistent quality in medical evaluations. Additionally, multitasking by documenting client information in real-time is essential. The ideal candidate should have 1-2 years of tele consultation experience, with a preference for experience in video/tele evaluations for pre-policy medical assessments. Basic computer proficiency is required, along with fluency in English (mandatory) and at least one other language. A basic knowledge of MS Office is also necessary. Candidates must hold a minimum qualification of MBBS, BAMS, BHMS, or BUMS. The role is based in Ahmedabad. Fluency in additional languages such as Malayalam, Tamil, Telugu, Sanskrit, Kannada, Punjabi, Assamese, Bangla, Bodo, Dogri, Gujarati, Hindi, Kashmiri, Konkani, Maithili, Manipuri, Marathi, Nepali, Oriya, Santali, Sindhi, and Urdu is an advantage. In summary, this role requires a compassionate and detail-oriented individual with a medical background, strong communication skills, and the ability to effectively conduct video/tele medical consultations.,

You will be responsible for processing claims, including preauthorization and reimbursement claims, in a timely manner. Your role will involve validating and processing these claims within the specified turnaround time. It is essential to possess good communication skills and medical knowledge for this position. Previous experience with Third Party Administrators (TPA) will be considered an advantage. Your primary financial responsibility will be to ensure that the organization incurs no financial implications during the settlement of claims. As a Medical Officer, you are required to have a strong foundation in clinical, TPA, and medical knowledge with an insurance background. The minimum educational qualification for this role is MBBS. This is a full-time position based in Mumbai, specifically at either the Worli or Marol location. The working hours are during the general shift. Please note that this role requires you to work from the office; remote work arrangements are not available. If you are looking for a challenging opportunity where you can utilize your medical expertise in claims processing, this role could be an ideal fit for you.,

As a Sales Manager at Sasteghar.com, your primary responsibility will be to identify and recruit high-quality Associate Partners to drive sales for the company. You will play a key role in generating business by ensuring that the Associate Partners meet their sales targets effectively. Key Roles and Responsibilities: - Recruiting top-notch Associate Partners who are capable of delivering results. - Meeting and exceeding sales and revenue targets set by the company. - Providing necessary support and guidance to the Associate Partners to help them in their sales efforts. - Enhancing the sales skills and knowledge of the Associate Partners through training and development programs. To excel in this role, you should have a minimum of 3 to 5 years of experience in the insurance industry, with a strong background in recruitment and sales. The ideal candidate should be adept at building and maintaining relationships, as well as driving results through a proactive and strategic approach. This is a full-time position with a competitive salary package that is among the best in the industry. The work schedule is during day shifts, and the job location is on-site. If you are passionate about sales, recruitment, and driving business growth, this opportunity as a Sales Manager at Sasteghar.com might be the perfect fit for you. Join our team and play a crucial role in shaping the success of the company.,

As a Sales Manager at Sasteghar.com, you will be responsible for identifying and recruiting high-quality Associate Partners to generate sales and drive business growth. Your primary focus will be to achieve sales and revenue targets by facilitating sales for the Associate Partners and enhancing their sales skills and knowledge. To excel in this role, you should possess a minimum of 3 to 5 years of experience in the insurance industry, with a strong background in recruitment and sales. The ideal candidate will have proven expertise in recruiting quality partners, meeting sales targets, and developing the sales capabilities of team members. This is a full-time position with a competitive salary package that is considered the best in the industry. The work schedule is during the day shift, and the job location is on-site. If you have a total work experience of at least 2 years, including 2 years in sales recruitment, and are looking to leverage your skills in a dynamic and challenging environment, we encourage you to apply for this exciting opportunity as a Sales Manager at Sasteghar.com.,

Roles and Responsibilities 01. Involves Processing of Claims ( Preauthorization / Reimbursement claims) 02. Validating and processing these claims within TAT 03. With good communication and medical Knowledge 04. TPA Experience is an added advantage Financial : To see to that there is no financial implication for the organization while settlement of claims Role : Medical Officer Required Knowledge /Skill : Clinical / TPA /Medical knowledge with insurance background Education : MBBS Working timing: Morning Shift / General Shift / Afternoon Shift / Evening Shift Job Location : IBC Knowledge Park, 4th Floor, D Block, Dairy Circle, Bannerghatta Road, Bangalore Note : This position is for Working from office only. Please do not apply if you are looking for working from home. Job Type: Full-time Work Location: In person,