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4.0 - 8.0 years
0 Lacs
haryana
On-site
Neolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide. We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations. Work with a company where your work can make a real impact! As a Training process trainer specializing in US Healthcare processes, you will be responsible for creating engaging and comprehensive training materials, SOPs, and conducting On Job Training for the ramp-up period of training graduates. And a key resource for the SOP management. Leveraging your expertise in instructional design principles and your ability to conduct insightful interviews, you will craft high-quality trainer-led training content that ensures our workforce remains up-to-date and proficient in all areas of healthcare operations. Responsibilities: - Conduct thorough interviews with subject matter experts and stakeholders to gather comprehensive insights on US Healthcare processes, including medical billing, credentialing, etc. - Design and implement effective process knowledge test assessments to measure the understanding and proficiency of employees in key healthcare processes, fostering continuous improvement and skill development. - Regularly update the SOPs and enhance existing SOPs to reflect the latest developments, trends, and changes within the process, and maintain work hygiene. - Conduct On-Job-Training during the ramp-up period of the new Hires post the graduation of the training. - Conduct process training on RCM modules. - Utilize applications used in operations and create SOPs based on them to design training accordingly. - Proven experience in creating engaging and effective trainer-led training materials in the healthcare sector, focusing on medical billing, credentialing, and clinical documentation management. - Familiarity with learning management systems and multimedia tools to develop interactive and visually appealing training content. - Knowledge of US Healthcare regulations, compliance standards, and industry-specific best practices. Essential Functions: - Work collaboratively with Revenue Cycle colleagues to ensure work products meet quality and quantity expectations. - Possess critical and analytical thinking skills to strategize solutions and work independently. - Strong computer skills required, especially in EPIC, Availity, Waystar, and Microsoft Office tools. - Excellent verbal and written communication skills with the ability to demonstrate diplomacy and conflict resolution techniques. - Engage in teamwork, maintain positive working relationships, and ensure OJT work production meets defined expectations. - Perform other duties as assigned. Requirements: - Skills: Proficiency in computer applications like Explorer, Excel, Word, Outlook, EPIC (or other EHR software). - Ability to multi-task, assess organization/customer needs, and translate them into learning objectives. - Good communication skills both verbal and written. - Education: College graduation in any stream. - Knowledge of insurance billing, medical terminology, rules, regulations, US Insurances, managed care contracts, and compliance. - Experience: 4+ years of healthcare accounts receivable experience with expertise in un-adjudicated claim management, appeals, and pre-collections. Demonstrated ability to develop and train staff on processes and procedures. Neolytix is an equal-opportunity employer, celebrating diversity and committed to creating an inclusive environment for all employees.,
Posted 5 days ago
1.0 - 3.0 years
3 - 6 Lacs
Gurugram
Work from Office
FHRM is looking for Medical Billers - Billing Executive / Senior Billing Executive to join our dynamic team and embark on a rewarding career journey Reviewing patient medical records to identify services provided and entering the corresponding billing codes into billing software. Submitting claims to insurance companies and other payers, following up on unpaid claims, and resubmitting claims as necessary. Reviewing payment information and posting payments to patient accounts. Communicating with insurance companies, patients, and healthcare providers to resolve billing issues. Verifying patient insurance eligibility and benefits and explaining insurance coverage and payment options to patients. Ensuring compliance with federal and state healthcare billing regulations. Maintaining accurate patient billing records and performing periodic audits to identify errors and discrepancies. Knowledge of medical billing codes and insurance billing processes. Strong analytical, organizational, and communication skills. Medical Billing-Payment Posting, Charge Posting, Denial Handling.
Posted 6 days ago
3.0 - 8.0 years
4 - 5 Lacs
Mohali
Remote
Job Description for Bookkeeper & Accounting Specialist US Healthcare Clinic Job Profile: Bookkeeper & Accounting Specialist US Healthcare Clinic Location: Remote (100%) Job Mode: Full-time, Remote Salary: (5-6 LPA) Notice Period: Immediate joiners preferred Job Responsibilities Maintain accurate financial records and reconcile clinic accounts. Process invoices, track payables and receivables, and manage all expense entries. Prepare monthly reports for clinic leadership, such as profit and loss statements and cash flow reports. Manage payroll and ensure timely filings for federal, state, and local taxes. Oversee the clinic budget and assist with financial forecasting. Coordinate with the CPA for tax preparation, financial reporting, and audit support. Ensure compliance with all healthcare-related financial requirements. Eligibility Criteria Minimum 3 years of bookkeeping/accounting experience, ideally in a small business or healthcare setting. Proficiency in QuickBooks or similar accounting software, Excel, and payroll systems. Strong understanding of U.S. accounting practices and tax compliance. High attention to detail, integrity, and reliable follow-through. Ability to work independently and uphold strict confidentiality. Strong communication skills. Experience with insurance billing, EHR systems, or patient payment portals is preferred. Past experience in a medical, chiropractic, or wellness clinic is a plus.
Posted 6 days ago
1.0 - 5.0 years
1 - 3 Lacs
Bengaluru
Work from Office
Role & responsibilities An IP Billing professional, whether an executive or staff member, is primarily responsible for managing and processing billing activities related to intellectual property (IP) or inpatient (IP) services . This involves maintaining accurate records, generating invoices, ensuring timely payments, and handling billing inquiries. They also play a crucial role in ensuring compliance with relevant regulations and collaborating with other teams, such as finance and legal, to streamline processes. Preferred candidate profile A strong candidate for an IP billing role, particularly within a hospital setting, should possess a blend of financial and administrative skills, along with a solid understanding of healthcare billing processes . Key requirements include a degree in finance, accounting, or a related field, experience in billing or insurance verification, and strong numerical and analytical abilities. Familiarity with billing software, hospital information systems, and relevant regulations (like HIPAA) is also essential.
Posted 1 week ago
2.0 - 5.0 years
2 - 4 Lacs
Chennai
Work from Office
Walkin : Mon to Sat between 11am to 3pm - Siruseri Unit Job Title: Insurance Co-ordinator Role & responsibilities: List out the total Number Of credit patients (All Insurance). To send the Pre- Authorization form to the concern insurance company. Explain the Admission & Discharge procedure to the patient & attenders also. All data's and activities should be computerized. Watch the approval status and query reply to be update shortly. To Proper communication about the patient Admission, Approval, Enhancement procedure, Discharge, Payment, and cancellation process. The most common job duties for a health unit coordinator are clerical tasks like answering phones and processing paperwork, including discharge, transfer, and admittance forms. Health unit coordinators also often act as a liaison between patients, nurses, doctors, and different departments within the hospital or care facility. Other tasks can include scheduling procedures like tests and x-rays, transcribing doctors' orders, and ordering medical and office supplies. Health unit coordinators are a part of a broader medical team, and are expected to keep pace with the potentially hurried and stressful environments in which they work. Heath care coordinators work closely with patients on a one-on-one basis. They provide guidance, support, and advice to patients dealing with complex medical issues. These professionals can help their clients navigate through a medical care scenario that may involve a variety of different doctors and treatment methods. Duties can include scheduling appointments, assisting with major decisions, helping patients understand complex medical information, evaluating care quality, and working with other health care professionals to ensure that the correct path is being taken. To Properly Intimate the consultants about credit limits. To make sure the Surgery details, Summary follow ups with consultants. To maintain the good rapport with consultants. Follow ups for consultant Payments. Reporting to Head of the department. Job Title: Executive - Credit Recovery Role & responsibilities: Marking Despatch details & updating claim details in KMH Internals Combinedly doing OS reconciliations as required with TPA/Corporates Sending out monthly OS statements / letters to TPA. / Corporates as may be agreed from timeline Marking Despatch details & updating claim details in KMH Internals Delivering Doctor's cheque with in time line Receiving acknowledgements for cheques submission from doctor & closing the entry in KMH DERN Collecting our Hospital other unit bills & submitting at agreed corporates. Follow up with TPA/Corporates for refund of collectible disallowance Regular follow up for renewing for MOU with TPA/Corporates Submitting Hospital Revised Tariff list to TPA / Insurance Reporting to Senior Officer - Credit Recovery Preferred candidate profile: Any Degree Holder (UG/PG Arts & Science) A minimum of 2 to 10 years of experience in Insurance. Working knowledge of Insurance standards Proficient in Microsoft Office. Strong attention to details. Perks and benefits: ESI, EPF Gratuity Contact person: Naveenkumar - HR - omrhr@drkmh.com
Posted 2 weeks ago
5.0 - 10.0 years
7 - 9 Lacs
Hyderabad
Work from Office
JOB DESCRIPTION Role / Designation: IP Billing Manager Reporting to: Unit Admin Head SBU / Division / Department: IP Billing Location / Branch : Gachibowli JOB OVERVIEW Financial counselling, bill preparation, insurance approvals. Admission, Discharges, preparing MIS reports, handle queries related to claims and reimbursements. Tracking payments made by insurance agencies and patients and training new employees in the billing department. JOB DESCRIPTION: Overall supervision, control on functioning of the Department. To attend to patient clarifications with regard to billing. To deal with billing clarifications/ information in respect to various Corporates/ Institutions having tie up with hospital. To follow-up on payment of outstanding dues with empaneled Corporate/ Institutions. To co-ordinate with Third Party Administrations (TPAs) and follow-up on payment of outstanding dues. To monitor the billing process, time taken for preparation of the final bill. To check the bills on a daily basis. To follow-up on dues from patients in case of default in payment. Training of staff in the department Provide data for Consultants/Doctors payments Defining IP Packages & Tariff and revising them from time to time as per decision of the Management. Any other work assigned by the Management from time to time. Preferred candidate profile Minimum Qualifications Graduate Technical Qualifications Computer Knowledge Minimum 5 to 10 years in relevant experience as IP Manager in Cash & Insurance Billing in hospitals Able to speak local language, English and Hindi
Posted 2 weeks ago
1.0 - 6.0 years
1 - 5 Lacs
Chennai, Sholinganallur
Work from Office
Responsible for managing hospital insurance operations, including claim processing, TPA coordination, documentation, compliance, and team supervision to ensure timely reimbursements and reduce claim denials.
Posted 3 weeks ago
2.0 - 7.0 years
2 - 5 Lacs
Mohali
Work from Office
Role & responsibilities: Outline the day-to-day responsibilities for this role. Preferred candidate profile: Specify required role expertise, previous job experience, or relevant certifications.
Posted 3 weeks ago
5.0 - 8.0 years
4 - 6 Lacs
Hyderabad
Work from Office
Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously under tight deadlines. Excellent communication skills for effective interaction with customers (patients), providers (hospitals), and insurers. Perks and benefits As per industry
Posted 3 weeks ago
10.0 - 15.0 years
5 - 7 Lacs
Bengaluru
Work from Office
Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving problems. Monitoring all estimations and actual billing expenses. Follow up of Emergency admission patient. Day to day outstanding amount follow up. Monitors OP / IP billings performance shift wise. Bill Updating of all the procedures done to the patient on daily basis. Ensures charges for the hospital services based upon the tariff. Gives estimation to the self-paying patients and Corporate Patients. To ensure that all the services are charged before final bill is made. Takes written consent from the Patients attendants on payment terms. Discuss with the consultants, estimate, deposits and payments. Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants. Gives break-ups of the treatment bills for re-imbursement, insurance claims. Provides inputs to Finance and Accounts department regarding day-to-day transactions Implementing admission & billing policies as directed by the management Tracking timely submission of bills of TPA & Corporate Maintaining MOU tracker. Maintaining all tariffs in soft copy and hard copy authorized sign. Co-ordination with internal departments. Maintaining Discharge TAT. Maintaining Estimation TAT. Giving on job training to staffs. Ensuring proper documentation for audit. Helping to concern person for timely TPA and Corporate renewals. Timely tariff revision. Daily MIS reports to the management.
Posted 1 month ago
2.0 - 7.0 years
1 - 3 Lacs
Bengaluru
Work from Office
a. Responsibilities : * To ensure that bills are prepared for in-patients and out patients and ensure that the bills are paid on time. * Provide training for the billing team whenever necessary. * Assist the team members in using Insta (H.I.S.). * Supervise the team b. Out Patient Billing : * Collect cash from the out patients. * Update orders from lab, pharmacy, radiology etc. * Refund amount if necessary after approval from the consultant / Directors. c. Inpatient Billing : * Taking the details of the inpatient for registration. * Update the activities undertaken. * Observe the discharge summary and finalize the bill amount. * Issue discount if necessary with approval. * Updating of surgeries and consultations. * Provide refunding if applicable after proper approval. d. TPA Processing : * Comply with the pre authorization process by coordinating with the insurance companies and the patient. * Counsel the insured patients about the non payables and make him clear about the bill amount borne by the insurance company and bill amount borne by the insured. * To comply with the enhancement process. * To make final settlement of the bill amount by coordinating with the insurance company and the insured. * Dispatching of Claims.
Posted 1 month ago
6.0 - 8.0 years
6 - 7 Lacs
Hyderabad
Work from Office
Role & responsibilities JOB DESCRIPTION Role / Designation: IP Billing Manager Reporting to: Unit Admin Head SBU / Division / Department: IP Billing Location / Branch : Attapur JOB OVERVIEW Financial counselling, bill preparation, insurance approvals. Admission, Discharges, preparing MIS reports, handle queries related to claims and reimbursements. Tracking payments made by insurance agencies and patients and training new employees in the billing department. JOB DESCRIPTION: Overall supervision, control on functioning of the Department. To attend to patient clarifications with regard to billing. To deal with billing clarifications/ information in respect to various Corporates/ Institutions having tie up with hospital. To follow-up on payment of outstanding dues with empanelled Corporate/ Institutions. To co-ordinate with Third Party Administrations (TPAs) and follow-up on payment of outstanding dues. To monitor the billing process, time taken for preparation of the final bill. To check the bills on a daily basis. To follow-up on dues from patients in case of default in payment. Training of staff in the department Provide data for Consultants/Doctors payments Defining IP Packages & Tariff and revising them from time to time as per decision of the Management. Any other work assigned by the Management from time to time. Preferred candidate profile Minimum Qualifications Graduate Technical Qualifications – Computer Knowledge Minimum 7 to 10 years in relevant experience as IP Manager in Cash & Insurance Billing in hospitals Able to speak local language, English and Hindi
Posted 1 month ago
3.0 - 5.0 years
3 - 5 Lacs
Chennai, Tamil Nadu, India
On-site
Job Summary Manage inpatient billing operations, ensuring accurate invoicing and timely payments Verify patient details, insurance claims, and coordinate with finance teams for settlements Handle patient queries related to billing, Required Candidate profile Maintain records, generate reports, and follow up on outstanding dues with concerned departments
Posted 1 month ago
2.0 - 4.0 years
2 - 4 Lacs
Chennai, Tamil Nadu, India
On-site
We're looking for an experienced In-patient Billing Executive to manage billing and record-keeping for our hospital. Experience: 2 years of experience in IP (In-patient) Billing is required. Location: Hyderabad, Telangana (This is based on our current location). What you'll do: Handle Tally billing for hospital in-patients. Accurately maintain patient records. Coordinate with patients regarding billing inquiries. Generate reports related to billing and patient accounts. Follow up on outstanding dues with the concerned departments. What you'll bring: Tally knowledge is a must. Strong organizational and record-keeping skills. Excellent communication and coordination abilities.
Posted 1 month ago
3.0 - 5.0 years
3 - 4 Lacs
Chennai
Work from Office
Tally billing for hospital In patient Records maintaining Coordinate with patients Maintain records, generate reports, and follow up on outstanding dues with concerned departments Required Candidate profile 2 Years of experience in IP Billing Tally Knowledge must Male or female ca apply Contact : 7305057838(WhatsApp)
Posted 1 month ago
1.0 - 5.0 years
1 - 2 Lacs
Tambaram
Work from Office
Billing, Insurance, patient management Required Candidate profile BILLING, INSURANCE,
Posted 1 month ago
1.0 - 5.0 years
1 - 2 Lacs
Tambaram, Chennai
Work from Office
Billing, Insurance, patient management, also available in nursing and pharmacist Required Candidate profile BILLING, INSURANCE, Nurse, Pharmacy
Posted 1 month ago
1.0 - 6.0 years
1 - 3 Lacs
Mysuru
Work from Office
Kangaroo Care Women & Children HospitalsName Department: IPDDesignation: Incharge - IPDReporting to: Manager - OperationsJob Description Overall Supervision and functioning of the department to deal with billing clarifications with respect to Cash, TPA, corporate. Ensure staff training in billing & Billing audit Policy. Improve processes to achieve quick and error free billing. Primary Responsibilities Deposit Collection Ensure that the admission deposit is collected as per policy at the time of admission Ensure that the surgeries are proceeded only after collection of OT clearance amount minimum of 70% of the package IP Service Posting Ensure that the services provided to patients are posted in HIS on regular basis The respective stakeholders are informed regarding pending service posting and ensure the same is completed within 12 hours of informing OT billing Ensure the OT billing is closed within 4 hours of surgery completion. In case of items where GRN is pending, ensure that the OT billing is closed within 24 hours of surgery completion IP Billing Ensure that all the patients leave the hospital only after paying complete bill and bill closure in software and discharge clearance is issued to all the patients Keep track of Open bills of discharged patients and get them closed withing 24 hours Credit Billing In case of credit/corporate patients, the bill must be closed after receiving Final authorisation from the TPA/insurance company and clearing the patient payable amount from the patient Ensure that the required Document are sent as soon as possible and any query is resolved within 24 hours Discounts Ensure the staff, clinicians and their next of kin are given discounts as per policy Authorise the discounts as per policy for cash patients and ensure that the discount remarks are entered properly in HIS Ensure the discount approvals are taken in designated forms and authorisation is taken from respective authorities as per policy. The scanned copies of forms are uploaded in HIS for future reference. Bill cancellation & refund Authorise the bill cancellations due to billing error, admission cencellation or any other reasons. Document the same in HIS under reason for cancellation Ensure the refund is processed within 24 hours of bill cancellation Outstanding Ensure that the Daily monitoring of bill status and collection of outstanding is done without failure Bill Audits Ensure that 100% of the bills are audited before closing the bills. Recounselling In case the interim bill of patient goes beyond the estimate, ensure the staff informs the financial counsellor for recounselling of the patient Weekly responsibilities Review the weekly Score cards for Billing, Credit cell & Credit control Analyse the reasons for poor performing parameters and plan for improvement Keep track of outstandings cleared from Corporate, TPA and Govt schemes and accordingly get it closed in TCS Audit minimum 10% of IPD discharge files. Monthly responsibilities Prepare and present Monthly MIS to higher management. Discuss the challenge areas, propose and implement solutions Departmental Audit to review the process and Compliance to Policy and processes in Operational Areas Setting quality indicators and performance indicators of the department as per the policy of the Unit. Thouroughly Check the service master once in a months for for 10% of service codes in IPD bills for duplicate code, zero value items, pricing version vs payer type, payer name duplicacy, pricing/laddering across various room categories and get the same corrected Review monthly performance of OPD in terms of Business, Predictability, Patient Experience and timeliness General Responsibilities Tarrif & SOC Ensure that the SOC is updated in HIS as per the revised charges annually Ensure that the SOC is revised every year after market research and the same is implemented after getting approval from higher authorities Packages Ensure that all the packages/payer are created and the charges are updated as per SOC in HIS In case of any new package, propose the package and get it created through IT team. New service creation In case any new service needs to be created, ensure the same is requested to IT for creation as per standard process and the charges across all room/payer categories are updated Service master management Thouroughly Check the service master once in six months for duplicate code, zero value items, pricing version vs payer type, payer name duplicacy, pricing/laddering across various room categories and get the same corrected Staff Management Prepare duty rotation for the billing staff and ensure that the staff is properly trained in all standard processes of billing Ensure availability of sufficient number of staff in department Ensure the staff are well trained for delivering their duties Plan and design growth plan of staff Provide proper Job description and KRA KPIs to all the non-clinical staff Performance appraisal of staff Key Skills and Qualifications Minimum Education B. Com/ M. Com/BBA
Posted 1 month ago
7.0 - 12.0 years
4 - 6 Lacs
Tirupati, Hyderabad
Work from Office
We are conducting walk-in drive on 11-Jun-25 & 12-Jun-25 @ Ankura Hospital, Attapur Unit. We have requirement for 3 Units - Attapur, LB Nagar & Tirupati. Role & responsibilities Overall supervision, control on functioning of the Department. Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities. Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Monitoring all estimations and actual billing expenses. Day to day outstanding amount follow up. Monitors OP / IP billings performance shift wise. Bill Updating of all the procedures done to the patient on daily basis. Ensures charges for the hospital services based upon the tariff. Gives estimation to the self-paying patients and Corporate Patients. To ensure that all the services are charged before final bill is made. Takes written consent from the Patients attendants on payment terms. Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants. Provides inputs to Finance and Accounts department regarding day-to-day transactions. Implementing admission & billing policies as directed by the management Tracking timely submission of bills of TPA & Corporate Maintaining MOU tracker. Maintaining all tariffs in soft copy and hard copy authorized sign. Ensuring proper documentation for audit. Helping to concern person for timely TPA and Corporate renewals. Timely tariff revision. Daily MIS reports to the management. Preferred candidate profile Minimum Qualifications -Graduate / MBA - Hospital Management / Hospital Administration Technical Qualifications Computer Knowledge Minimum 7 to 12 years in Healthcare Industry as IP Billing Manager Able to speak local language, English and Hindi. Work Location: Attapur/LB Nagar/Tirupati Interested candidates can share your updated resume to job@ankurahospital.com
Posted 1 month ago
3.0 - 5.0 years
3 - 4 Lacs
Chennai
Work from Office
Manage inpatient billing operations, ensuring accurate invoicing and timely payments Verify patient details, insurance claims, and coordinate with finance teams for settlements Handle patient queries related to billing, Required Candidate profile Maintain records, generate reports, and follow up on outstanding dues with concerned departments Kindly reach us Asha 7603959077
Posted 1 month ago
0.0 - 5.0 years
1 - 4 Lacs
Hyderabad
Work from Office
Job Requirement Must Have hands on experience in Billing department Must Be Graduate. Excellent in Communication At least 2 years of administrative experience in a medical or healthcare setting. Associate's degree in accounting, business, or economics may be preferred. Basic mathematical skills. Excellent communication skills to deal with medical insurance companies and to explain financial matters to patients and staff. Above-average organizational skills to be able to locate files or patient records speedily. Attention to detail to maintain patient records proficiently and to check that the accounts have been entered accurately. The ability to process cash or credit card payments. Proficiency in account data input to prepare statements for patients. Knowledge of medical coding procedures. Medical Billing Responsibilities: Managing patient accounts and preparing invoices. Inputting patient information and maintaining up-to-date records of patient data using computer software. Ensuring that the patients receive the accounts. Performing administrative tasks such as answering phone calls and responding to emails. Acquiring and recording medical aid details from patients and liaising with the medical aid company to obtain authorization on payments owed by patients. Following up with patients on accounts that are late as well as those which are seriously overdue. Following work procedures methodically while ensuring compliance with the rules and regulations of the hospital or clinic as well as state and federal laws. Improving job knowledge and skills by networking and staying abreast of medical service rates in order to ensure up-to-date billing. Ensuring that patient records, accounts, and payments are meticulously handled. Keeping all patient records confidential.
Posted 2 months ago
5.0 - 8.0 years
4 - 6 Lacs
Hyderabad
Work from Office
Role & responsibilities Manage insurance claims from receipt to settlement, ensuring timely processing and resolution. Coordinate with TPAs (Third Party Administrators) for claim adjudication and settlement. Handle mediclaim claims, health insurance claims, and other types of general insurance policies. Ensure accurate billing and reconciliation of patient accounts. Maintain records of all interactions with patients, providers, and insurers. Preferred candidate profile 5-8 years of experience in insurance coordination or TPA coordination role. Strong knowledge of insurance billing, claims processing, and claims settlement procedures. Proficiency in handling multiple tasks simultaneously under tight deadlines. Excellent communication skills for effective interaction with customers (patients), providers (hospitals), and insurers. Perks and benefits As per industry
Posted 2 months ago
8.0 - 12.0 years
8 - 9 Lacs
Navi Mumbai
Work from Office
Roles and Responsibilities Manage end-to-end claims processing, including investigation, settlement, and reconciliation. Oversee insurance billing and TPA (Third Party Administrator) processes. Ensure compliance with regulatory requirements and industry standards for healthcare services. Develop and implement effective strategies to reduce claim denial rates and improve revenue cycle management. Collaborate with internal stakeholders to resolve complex claims issues.
Posted 2 months ago
10.0 - 15.0 years
5 - 7 Lacs
Aurangabad
Work from Office
Accuracy in Inpatient Billing. Effectively monitoring of day-to-day activities Resolve customer complaints or answer customers' questions regarding policies and procedures. Supervise the work of office, administrative, or customer service employees to ensure adherence to quality standards, deadlines, and proper procedures, correcting errors or problems. Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes. Implement corporate or departmental policies, procedures, and service standards in conjunction with management. Discuss job performance problems with employees to identify causes and issues and to work on resolving problems. Monitoring all estimations and actual billing expenses. Follow up of Emergency admission patient. Day to day outstanding amount follow up. Monitors OP / IP billings performance shift wise. Bill Updating of all the procedures done to the patient on daily basis. Ensures charges for the hospital services based upon the tariff. Gives estimation to the self-paying patients and Corporate Patients. To ensure that all the services are charged before final bill is made. Takes written consent from the Patients attendants on payment terms. Discuss with the consultants, estimate, deposits and payments. Explains the line of treatment being given and the reason for taking such deposits at the time of admission to the patients and their attendants. Gives break-ups of the treatment bills for re-imbursement, insurance claims. Provides inputs to Finance and Accounts department regarding day-to-day transactions Implementing admission & billing policies as directed by the management Tracking timely submission of bills of TPA & Corporate Maintaining MOU tracker. Maintaining all tariffs in soft copy and hard copy authorized sign. Co-ordination with internal departments. Maintaining Discharge TAT. Maintaining Estimation TAT. Giving on job training to staffs. Ensuring proper documentation for audit. Helping to concern person for timely TPA and Corporate renewals. Timely tariff revision. Daily MIS reports to the management.
Posted 2 months ago
1.0 - 5.0 years
2 - 4 Lacs
Chandigarh, Hyderabad, Bengaluru
Work from Office
Follow up with payers to obtain claim status updates Identify reasons for denials and work towards resolution Must have Voice Experience Work on billing scrubbers and make necessary edits Handle contractual WhatsApp cv 7696517849 Required Candidate profile AR Caller With Experience for Hyderabad, Bangalore Night Shifts Cab Yes Excellent English Speaking WhatsApp cv 7696517849 Register For Call Back https://callcenterjobs.anejabusinessgroup.com/ Perks and benefits https://callcenterjobs.anejabusinessgroup.com/
Posted 2 months ago
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