5 Insurance Guidelines Jobs

As an AR Caller with over 3 years of experience, you will be responsible for contacting insurance companies, patients, and healthcare providers to follow up on outstanding medical claims. Your main tasks will include identifying and resolving issues with unpaid or denied claims, reviewing and analyzing insurance remittance advice for accurate reimbursement, and maintaining up-to-date records of all communications and actions taken. Additionally, you will collaborate with internal departments to resolve billing discrepancies and coding issues, providing excellent customer service by effectively addressing inquiries and concerns. It will be essential for you to stay updated on industry trends and changes in insurance regulations to ensure compliance. To qualify for this role, you should hold a degree in any discipline and have previous experience in medical billing or revenue cycle management. Knowledge of medical billing software and insurance claim processing systems is required, along with a strong understanding of insurance guidelines and reimbursement processes. Excellent communication and interpersonal skills, attention to detail, organizational abilities, and the capacity to multitask and prioritize work will be crucial. Moreover, problem-solving and critical thinking skills, the ability to work independently and as part of a team, familiarity with medical terminology, and proficiency in using Microsoft Office applications are essential for successful performance in this position.,

You are an experienced and proactive Medical Biller - AR with expertise in physician billing, seeking to join a dynamic team at 5Tek Medical India Private Limited in Mohali, Punjab. Your role is crucial in ensuring accurate billing processes, timely claim follow-ups, and optimizing revenue cycle management. In this role, you will accurately review and resubmit medical claims to insurance companies, address claim denials and rejections promptly, and investigate discrepancies to maintain a smooth billing cycle. You will also be responsible for answering billing-related queries with professionalism, verifying and updating demographic information, and maintaining meticulous records for audit purposes. To excel in this position, you must have a minimum of 2 years" experience in medical billing, AR follow-up, and patient communication in the US healthcare system. Proficiency in medical billing software, strong knowledge of insurance guidelines and codes, and the ability to work night shifts are essential. Excellent communication skills, empathy, and problem-solving abilities are also required. As a Graduate in any discipline with certification in Medical Billing or related healthcare training, you will have the opportunity to work with a US-based healthcare company, gaining exposure to advanced medical billing systems and processes. If you are ready to shape the future of healthcare management and meet the qualifications mentioned above, you can apply by sending your updated resume to recruitmentindia@5tekmedical.com or calling 9056710352. Join us in this full-time role and enjoy benefits such as health insurance, leave encashment, paid sick time, and provident fund. Relocation to Mohali, Punjab and availability for night shifts are required for this in-person position. Let's work together to make a difference in the healthcare industry!,

As an AR Caller at our office in Bangalore, you will have the exciting opportunity to utilize your expertise in eClinicalWorks (ECW) software and contribute to the growth of your career in medical billing and revenue cycle management. Your primary responsibility will be to make outbound calls to insurance companies, verify claims, and effectively resolve outstanding balances. Additionally, you will handle denials and rejections, ensuring timely corrections and resubmissions through the use of eClinicalWorks (ECW) software. It will be crucial for you to follow up on unpaid claims, escalate issues when necessary, and ensure prompt collections while maintaining accurate records of claim status, follow-ups, and resolutions. You will also play a key role in identifying trends in claim denials and suggesting process improvements to enhance efficiency and productivity. To excel in this role, you should have a minimum of 2 years of experience in AR calling and demonstrate proficiency in eClinicalWorks (ECW) software. A strong understanding of insurance guidelines, denial management, and appeals process is essential, along with excellent communication and problem-solving skills. Willingness to work night shifts in the US healthcare process and the ability to thrive in a fast-paced office environment are also key requirements. In return, we offer a competitive salary of up to 60,000 based on experience, along with ample opportunities for growth within our leading healthcare RCM team. You will have the chance to work in a dynamic and supportive office environment where your contributions are valued. If you are ready to take the next step in your career and seize this opportunity to grow in the healthcare industry, we invite you to apply now through our website www.qanatcs.in or contact us at +91 9908460566 / 9642049915 or via email at contactus@qanatcs.in / leadhr@qanatcs.in. Join us and be part of a team that is making a difference in healthcare.,

Genpact (NYSE: G) is a global professional services and solutions firm delivering outcomes that shape the future. Our 125,000+ people across 30+ countries are driven by our innate curiosity, entrepreneurial agility, and desire to create lasting value for clients. Powered by our purpose the relentless pursuit of a world that works better for people we serve and transform leading enterprises, including the Fortune Global 500, with our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI. Inviting applications for the role of Business Analyst, Medical Coding In this role, you need to work as Medical coder for Provider Coding. Responsibilities Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify the pertinent CPT and ICD 10 CM codes. To code on Medical reports by assigning appropriate CPT & ICD 10 CM codes based on the documentation and per the client specification. Follow project-specific guidelines without any deviation. Check the LCD policy per insurance specification. Performs assigned tasks/complete targets with speed and accuracy as per client SLAs Compliance with client/project guidelines, business rules, and training provided the company's quality system and policies. Communication / Issue escalation to supervisor if there is any in a timely manner. Willing to learn and keep self-updated with the updated codes. Work cohesively in a team setting. Assist team members to achieve shared goals. Qualifications we seek in you! Minimum Qualifications Must have relevant experience in Medical Coding any (ED, E/M, Urgent Care, Ancillary (Path/Lab/Rad) Thorough knowledge of CPT and ICD-10-CM/PCS, HCPCS Level II, Medicare, Medicaid, and Insurance guidelines. Coding certification: Mandatory CPC (AAPC) and/or CCS (AHIMA) Science graduate/BAMS/BHMS/BPT/BUMS and/or relevant equivalent and relevant work experience Preferred Qualifications/ Skills Relevant years general medical coding experience. Must possess computer skills including, but not limited to, Word, Excel, and PowerPoint. Experience with 3M and encoder preferred. Experience with an EPIC preferred. Must be able to use the internet and other electronic resources for the purpose of research. Advanced understanding of Professional coding guidelines, medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes Job Business Analyst Primary Location India-Gurugram Schedule Full-time Education Level Bachelor's / Graduation / Equivalent Job Posting Apr 1, 2025, 8:46:35 PM Unposting Date Ongoing Master Skills List Operations Job Category Full Time,

Description We are seeking experienced Surgery Coders to join our US Medical Healthcare team in India. The ideal candidates will have 1-6 years of experience in surgical coding and will be responsible for accurately coding surgical procedures, ensuring compliance with coding standards, and collaborating with healthcare professionals. Responsibilities Review and analyze surgical documentation to assign appropriate codes for procedures performed. Ensure compliance with coding guidelines and regulations, including ICD-10, CPT, and HCPCS. Collaborate with healthcare providers to clarify documentation and coding discrepancies. Maintain knowledge of updates in coding regulations and guidelines. Prepare and submit claims to insurance companies, ensuring accuracy and completeness. Assist in audits and quality assurance processes for coding accuracy. Provide training and support to junior coders as needed. Skills and Qualifications Certified Professional Coder (CPC) or equivalent certification preferred. Proficient in ICD-10, CPT, and HCPCS coding systems. Strong understanding of medical terminology and anatomy. Excellent attention to detail and organizational skills. Ability to work independently and manage time effectively. Strong analytical and problem-solving skills. Effective communication skills, both written and verbal.