12 Insurance Guidelines Jobs

As an AR Caller in the Revenue Cycle Management (RCM) industry located in the Mohali district, your role will involve resolving billing issues, following up on outstanding claims, verifying insurance coverage, and updating patient demographics. You will also handle patient inquiries and communicate with insurance companies to ensure accurate reimbursement. Key Responsibilities: - Resolve billing issues promptly - Follow up on outstanding claims - Verify insurance coverage for patients - Update patient demographics accurately - Handle patient inquiries efficiently - Communicate effectively with insurance companies for reimbursement Qualifications: - Experience in medical billing, accounts rec...

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...

As a Medical Coordinator - Claim Processing, your role involves verifying and processing insurance claims, ensuring accuracy in medical information capture, and facilitating communication among insurance companies, healthcare professionals, and patients. Your responsibilities will include: - Reviewing and processing medical insurance claims - Ensuring compliance with insurance policies and healthcare regulations - Working with healthcare providers to gather necessary medical records - Verifying patient and provider information accuracy before claim submission - Data entry into claim processing systems - Maintaining accurate records of claims - Updating patient accounts - Communicating with p...

You are an experienced and proactive Medical Biller - AR with expertise in physician billing, integral to ensuring accurate billing processes, timely claim follow-ups, and optimizing revenue cycle management. Accurately review and resubmit medical claims to insurance companies. Address claim denials and rejections promptly to ensure maximum revenue collection. Investigate and resolve discrepancies or denials to maintain a smooth billing cycle. Answer billing-related queries with professionalism and empathy. Verify and update demographic, guarantor, and insurance information for accurate billing. Maintain meticulous records and documentation for audit and compliance purposes. Collaborate with...

Your role will involve balancing daily batches as part of the key responsibilities. To excel in this position, a Bachelor's degree in finance, accounting, healthcare administration, or a related field is preferred. It is essential to have a strong knowledge of medical terminology, healthcare billing processes, and insurance guidelines. Proficiency in utilizing healthcare billing software and electronic medical records (EMR) systems is required. The role demands excellent analytical and problem-solving skills with a keen attention to detail. Effective communication and interpersonal skills are crucial for successful collaboration with cross-functional teams. As part of the job, you will need ...

Genpact is a global professional services and solutions firm dedicated to shaping the future by delivering impactful outcomes. With a workforce of over 125,000 professionals spread across 30+ countries, we are fueled by curiosity, agility, and the drive to create enduring value for our clients. Our mission revolves around the relentless pursuit of a world that functions better for people. We cater to and transform leading enterprises, including the Fortune Global 500, leveraging our profound business and industry expertise, digital operation services, and proficiency in data, technology, and AI. We are currently seeking applications for the position of Business Analyst - Medical Coding. As a...

We are seeking an organized and detail-oriented individual to join our team as a US Operations Coordinator in the Intake Team. As the initial point of contact for patients, you will play a vital role in ensuring smooth and accurate intake processes. Your primary duties will include verifying insurance, checking eligibility, and obtaining authorizations for medical services. Your responsibilities will involve collecting and accurately recording patient information, processing incoming referrals and inquiries for medical services, verifying patient insurance coverage and benefits, determining patient eligibility for medical services based on insurance coverage, and providing clear information ...

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 ...

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 pur...

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,...

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. Responsibilit...

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. Pr...