Key Responsibilities: Review and post patient charges to ensure accuracy and completeness. Verify coding accuracy based on provider documentation. Identify and resolve charge discrepancies to minimize claim denials. Collaborate with billing, coding, and clinical teams to ensure compliance with payer policies. Maintain up-to-date knowledge of billing regulations and coding changes. Respond to internal and external inquiries regarding charge posting. Assist in charge audits and implement process improvements. Qualifications: High school diploma or equivalent; associate degree preferred. 1-3 years of experience in medical billing or charge posting. Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding. Familiarity with electronic health record (EHR) and practice management systems. Strong attention to detail and problem-solving skills. Excellent communication and organizational abilities. Preferred Qualifications: Certified Professional Coder (CPC) or equivalent certification. Experience working in a multi-specialty healthcare environment.
You will be responsible for maintaining accurate and up-to-date financial records for the organization. This includes recording and classifying financial transactions in accordance with generally accepted accounting principles (GAAP). You will also prepare monthly, quarterly, and annual financial statements and generate financial reports to assist in decision-making processes. Collaboration with management to develop and manage budgets will be an essential part of your role. In this position, you will investigate and resolve discrepancies in a timely manner and assist in the preparation of federal, state, and local tax returns. It is crucial to stay updated on changes in tax regulations and ensure compliance. Implementing and monitoring internal controls to safeguard financial assets and conducting periodic internal audits to ensure compliance with financial policies and procedures will be among your key responsibilities. Your role will involve conducting financial analyses to support strategic decision-making, identifying trends, opportunities, and potential areas for improvement. You will also be responsible for preparing documentation and support for external audits, as well as collaborating with auditors to address inquiries and provide necessary information. Qualifications: - Working knowledge of QuickBooks Online/Desktop. - Bachelor's/Master's degree in Accounting, Finance, or a related field. - Proficiency in Microsoft Excel and accounting software. - Strong communication, analytical, and problem-solving skills. This is a full-time, permanent position with benefits such as food provided, health insurance, and Provident Fund. The schedule may include evening shift, fixed shift, night shift, or US shift based on requirements. Education: - Bachelor's degree preferred. Experience: - 1 year of experience in accounting, Tally, and overall work preferred. License/Certification: - CA-Inter certification preferred. Work Location: In person.,
The role involves ensuring accuracy and compliance with healthcare billing regulations and standards. You will be responsible for analyzing billing data to identify trends, issues, and opportunities for process improvements. Collaborating with cross-functional teams will be crucial to streamline billing operations and enhance service delivery. Additionally, you will play a key role in training and mentoring junior staff on billing procedures, software, and best practices. It is essential to stay updated on healthcare billing codes, regulations, and industry standards and act as a point of contact for client inquiries related to billing, providing timely resolutions. Participation in audits to ensure adherence to internal and external compliance requirements is also expected. The ideal candidate should possess a Bachelor's degree in Healthcare Administration, Business, or a related field, along with 2-4 years of experience in medical billing or healthcare revenue cycle management, particularly focusing on US healthcare. Proficiency in billing software and electronic health record (EHR) systems is required. Strong analytical and problem-solving skills, attention to detail, and excellent communication and interpersonal skills are essential for effective interaction with clients and team members. The ability to work independently, manage multiple priorities in a fast-paced environment, and familiarity with healthcare compliance regulations such as HIPAA and best practices are also necessary for this role.,
Company Description Integrity Healthcare Solutions Pvt Ltd in Ahmedabad provides end-to-end knowledge process outsourcing services to healthcare providers in the United States. Our services include Revenue Cycle Management (RCM), EMR and Practice Management software implementation, Quality Payment Program consulting services, Medical Transcription, Medical Coding, Remote Patient Monitoring, and customized software solutions for clients. Role Description This is a full-time on-site AR Caller / Medical Billing role at Integrity Healthcare Solutions Pvt Ltd located in Ahmedabad. The AR Caller will be responsible for managing accounts receivable for a physician or a group of physicians using a physician billing/AR management software. The day-to-day tasks include reviewing bills and claims for accuracy, following up with insurance companies, patients, and providers to resolve unpaid claims, answering billing questions, and providing documentation to support the claim. Qualifications Strong knowledge of the revenue cycle and medical billing practices Proficiency in physician billing/AR management software Excellent communication and customer service skills Ability to multitask and prioritize effectively Attention to detail and accuracy Knowledge of ICD-10, CPT, and HCPCS codes Experience in Revenue Cycle Management (RCM) preferred Bachelor's degree in Healthcare Administration, Business Administration, or related field
As a Medical Claims Specialist, you will be responsible for accurately preparing and submitting medical claims to insurance companies in a timely manner. Your key duties will include ensuring that all necessary documentation, such as medical records and invoices, is attached to support the claims. In addition, you will be required to regularly follow up on unpaid or underpaid claims with insurance companies using various communication channels, including phone calls and written correspondence to resolve any outstanding issues. You will investigate and address claim denials promptly, determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims. Effective communication with insurance representatives to resolve claim issues and obtain necessary information will be crucial. Building and maintaining positive relationships with insurance companies to facilitate smoother claims processing is also a key aspect of this role. Furthermore, you will be responsible for communicating with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities. Assisting patients with questions related to billing and insurance will also be part of your responsibilities. It is essential to adhere to the organization's policies, procedures, and compliance standards while staying informed about changes in healthcare regulations that may impact billing practices. To excel in this role, you should possess a graduate degree and prior calling experience would be advantageous. Fluent verbal communication skills and the willingness to work night shifts (US shift) are essential. A good understanding of the overall Revenue Cycle Management to effectively work on Accounts Receivable (AR) will be beneficial. The compensation for this position will be as per industry standards. If you are someone who is detail-oriented, possesses strong communication skills, and has a good understanding of medical billing practices, then this opportunity as a Medical Claims Specialist is for you. Join our team and contribute to efficient and effective medical claims processing.,
The job role involves reviewing and verifying client information to determine eligibility for specific benefits or programs. You will be required to communicate with clients or relevant parties to gather necessary information and coverage limits. Additionally, you will determine the extent of benefits available to clients based on their eligibility status and maintain accurate and up-to-date records of client information, eligibility status, and benefit details. It is important to document verification processes and outcomes for future reference and communicate eligibility and benefit information to clients, colleagues, or relevant stakeholders. You will provide clear explanations of benefits, coverage details, and any necessary actions required, as well as address and resolve any discrepancies or issues related to eligibility or benefits. Collaboration with other departments or teams to ensure accurate information flow is essential. Keeping informed about relevant laws, regulations, and industry standards related to eligibility and benefits is also part of the role. Ensuring compliance with all applicable guidelines and policies and providing excellent customer service by responding to inquiries, addressing concerns, and assisting clients in understanding their benefits is key. Qualifications: - Any graduate or equivalent; additional education or certifications in healthcare administration or related fields may be preferred. - Previous experience in eligibility verification, benefit analysis, or a similar role. - Knowledge of insurance policies, financial assistance programs, or relevant benefits. - Strong attention to detail and accuracy. - Excellent communication and interpersonal skills. Compensation: As per Industry standards,
You will collaborate with hiring managers to determine the organization's staffing requirements and craft detailed job descriptions. Utilizing multiple channels such as job boards, social media, and networking, you will source potential candidates. Screen resumes and conduct initial interviews to evaluate candidates" qualifications and suitability for the role. Coordinate and arrange interviews with the hiring teams. Maintain an orderly database of candidates and monitor their progress throughout the recruitment process. Deliver exceptional candidate experiences by ensuring clear communication and addressing inquiries promptly. Assist in performing reference checks and background screenings when necessary. Facilitate the onboarding process for new employees, ensuring a seamless integration into the company. Contribute to the formulation and execution of recruitment strategies and initiatives to enhance employer branding. Stay abreast of industry trends and recruitment best practices to ensure effective talent acquisition.,
Company Description Integrity Healthcare Solutions Pvt Ltd in Ahmedabad provides end-to-end knowledge process outsourcing services to healthcare providers in the United States. Our services include Revenue Cycle Management (RCM), EMR and Practice Management software implementation, Quality Payment Program consulting services, Medical Transcription, Medical Coding, Remote Patient Monitoring, and customized software solutions for clients. Role Description This is a full-time on-site AR Caller / Medical Billing role at Integrity Healthcare Solutions Pvt Ltd located in Ahmedabad. The AR Caller will be responsible for managing accounts receivable for a physician or a group of physicians using a physician billing/AR management software. The day-to-day tasks include reviewing bills and claims for accuracy, following up with insurance companies, patients, and providers to resolve unpaid claims, answering billing questions, and providing documentation to support the claim. Qualifications Strong knowledge of the revenue cycle and medical billing practices Proficiency in physician billing/AR management software Excellent communication and customer service skills Ability to multitask and prioritize effectively Attention to detail and accuracy Knowledge of ICD-10, CPT, and HCPCS codes Experience in Revenue Cycle Management (RCM) preferred Bachelor's degree in Healthcare Administration, Business Administration, or related field
Company Description Integrity Healthcare Solutions Pvt Ltd in Ahmedabad provides end-to-end knowledge process outsourcing services to healthcare providers in the United States. Our services include Revenue Cycle Management (RCM), EMR and Practice Management software implementation, Quality Payment Program consulting services, Medical Transcription, Medical Coding, Remote Patient Monitoring, and customized software solutions for clients. Role Description This is a full-time on-site AR Caller / Medical Billing role at Integrity Healthcare Solutions Pvt Ltd located in Ahmedabad. The AR Caller will be responsible for managing accounts receivable for a physician or a group of physicians using a physician billing/AR management software. The day-to-day tasks include reviewing bills and claims for accuracy, following up with insurance companies, patients, and providers to resolve unpaid claims, answering billing questions, and providing documentation to support the claim. Qualifications Strong knowledge of the revenue cycle and medical billing practices Proficiency in physician billing/AR management software Excellent communication and customer service skills Ability to multitask and prioritize effectively Attention to detail and accuracy Knowledge of ICD-10, CPT, and HCPCS codes Experience in Revenue Cycle Management (RCM) preferred Bachelor's degree in Healthcare Administration, Business Administration, or related field
Job Title: Lead Generation Manager – RCM (Revenue Cycle Management) Location: [Ahmedabad, Gujarat] Shift Timing: 5:30 PM to 3:00 AM IST Reporting To: Sales Head – US About the Role: We are seeking a highly motivated and results-driven Lead Generation Manager with proven experience in the Revenue Cycle Management (RCM) sector. The ideal candidate will be responsible for identifying, qualifying, and nurturing potential clients across the US healthcare market. You will work closely with the Sales Head (based in the US) to generate high-quality leads that convert into business opportunities. Key Responsibilities: Develop and execute lead generation strategies to target healthcare providers, medical practices, clinics, hospitals, and other potential clients relevant for selling RCM services. Use various channels including high volume cold calling, email campaigns, LinkedIn outreach, etc. Conduct in-depth research to identify key decision-makers and gather critical prospect information. Qualify leads through effective communication and alignment with the sales team’s criteria. Maintain and update the CRM system with accurate lead information and activity tracking. Collaborate with the sales and marketing teams to refine messaging, campaigns, and lead qualification criteria. Prepare weekly and monthly lead generation reports and dashboards to present progress and pipeline status to the Sales Head. Stay updated on industry trends, competitor activities, and evolving market dynamics in the US RCM sector. Required Skills & Qualifications: Minimum 3-5 years of experience in lead generation or sales development, preferably in the US RCM or healthcare outsourcing industry . Strong understanding of the US healthcare revenue cycle and medical billing services. Excellent communication and interpersonal skills. Experience with CRM tools such as Salesforce, HubSpot, Zoho, or similar platforms. Comfortable working during US business hours (5:30 PM – 3:00 AM IST) . Self-motivated, target-oriented, and capable of working with minimal supervision. Preferred Qualifications: Prior experience working with US-based sales or business development teams. Familiarity with HIPAA compliance and healthcare data handling protocols.
Key Responsibilities Compile and organize healthcare data from electronic health records, patient satisfaction surveys, billing claims, cost reports, and other sources Analyze data patterns and trends to deliver optimal healthcare management and decision-making Retrieve data from database management systems and perform ETL (Extract, Transform, Load) processes Build data models that capture a wide range of healthcare operations Create visually appealing reports and presentations to communicate data-driven insights to management Collaborate with healthcare executives and administrators to implement data-driven improvements Stay up-to-date with the latest healthcare data analysis techniques and tools Required Skills And Qualifications Bachelor's degree in Health Informatics, Statistics, Mathematics, or a related field 3-5 years of experience as a Healthcare Data Analyst or in a similar role Knowledge of healthcare procedures, terminology, and regulations Strong analytical and problem-solving skills with the ability to derive meaningful insights from complex data Excellent communication and presentation skills to effectively convey findings to technical and non-technical stakeholders Familiarity with data warehousing concepts Experience in data modeling and ETL processes Ability to work collaboratively in a team environment and adapt to changing priorities If you possess the required skills and are passionate about leveraging data to improve healthcare outcomes, we encourage you to apply for this exciting opportunity. Share with someone awesome View all job openings
About Job Role Processing Charge Entry & Payment Posting Entry / Cash Posting transactions in the revenue cycle software provided by the customer. Prepare and submit accurate medical claims to insurance companies. Verify patient demographic information and insurance details for each claim. Ensure compliance with coding and billing regulations. Assign appropriate medical codes to diagnoses and procedures. Review medical records to ensure proper documentation for billing purposes. Stay updated on coding changes and industry regulations. Verify patients' insurance coverage and eligibility. Communicate with insurance companies to resolve issues related to claim denials or delays. Respond to inquiries from patients, insurance companies, and internal staff regarding billing issues. Address and resolve billing discrepancies and disputes. Post payments received from insurance companies and patients. Reconcile accounts and identify and resolve payment discrepancies. Generate and analyse reports related to billing and reimbursement. Provide regular updates on the status of outstanding claims. Qualifications Bachelor's degree in any stream or equivalent work experience. Strong understanding of medical billing processes, codes, and regulations. Proven experience in medical billing. Excellent communication and interpersonal skills. Compensation As per Industry standards Share with someone awesome View all job openings
About Job Role Review, analyse, and understand authorization requests, ensuring completeness and accuracy. Collaborate with internal departments to gather necessary information for authorization processing. Verify the eligibility and coverage details for authorization requests. Communicate with external stakeholders, including insurance providers and regulatory bodies, to obtain necessary approvals. Maintain accurate records of authorization requests, approvals, and denials. Understand the appeal requirements and process for any unapproved authorizations and ensure timely appeals. Monitor and stay informed about changes in industry regulations related to authorization processes and compliance. Provide support and guidance to staff involved in the authorization process. Generate reports and analyse data related to authorization activities. Ensure compliance with company policies and industry standards. Contribute to the continuous improvement of the authorization process. Qualifications Bachelor's degree in [Relevant Field] or equivalent work experience. Proven experience in authorization or a related field. Strong understanding of industry regulations and compliance requirements. Excellent communication and interpersonal skills. Detail-oriented with strong organisational and multitasking abilities. Proficient in using relevant software and tools Compensation As per Industry standards Share with someone awesome View all job openings
About Job Role Review, analyse, and understand authorization requests, ensuring completeness and accuracy. Collaborate with internal departments to gather necessary information for authorization processing. Verify the eligibility and coverage details for authorization requests. Communicate with external stakeholders, including insurance providers and regulatory bodies, to obtain necessary approvals. Maintain accurate records of authorization requests, approvals, and denials. Understand the appeal requirements and process for any unapproved authorizations and ensure timely appeals. Monitor and stay informed about changes in industry regulations related to authorization processes and compliance. Provide support and guidance to staff involved in the authorization process. Generate reports and analyse data related to authorization activities. Ensure compliance with company policies and industry standards. Contribute to the continuous improvement of the authorization process. Qualifications Bachelor's degree in [Relevant Field] or equivalent work experience. Proven experience in authorization or a related field (1-3 years) Strong understanding of industry regulations and compliance requirements. Excellent communication and interpersonal skills. Detail-oriented with strong organisational and multitasking abilities. Proficient in using relevant software and tools Compensation As per Industry standards Share with someone awesome View all job openings
IT Support To be considered for this position, applicants need to meet the following qualification criteria: An IT Coordinator is a professional responsible for maintaining and managing information technology systems and networks within an organization. They ensure the functionality and efficiency of computer and telecom systems by establishing protocols, providing technical support, and advising on IT choices. An IT Coordinator performs various tasks to maintain IT systems, including installing and configuring software and hardware, monitoring system performance, troubleshooting issues, and providing technical support and training. They act as a link between end users and higher-level support, collaborate with other professionals, and ensure compliance with IT standards and functionality. Their role involves both technical and administrative responsibilities in managing IT systems within an organization. Roles And Responsibility Institute protocols for the use of IT across departments and projects Provide advice on the most suitable IT choices Provide technical support for systems and networks for local users and overseas Clients. Act as link between end users and higher level support Install and configure software and hardware (printers, network cards etc. Monitor system and network performance Perform troubleshooting, repairs and data restoration Share with someone awesome View all job openings
About Job Role Review and verify client information to determine eligibility for specific benefits or programs. Communicate with clients or relevant parties to gather necessary information. Verify and analyse insurance coverage details, including co-pays, deductibles, and coverage limits. Determine the extent of benefits available to clients based on their eligibility status. Maintain accurate and up-to-date records of client information, eligibility status, and benefit details. Document verification processes and outcomes for future reference. Communicate eligibility and benefit information to clients, colleagues, or relevant stakeholders. Provide clear explanations of benefits, coverage details, and any necessary actions required. Address and resolve any discrepancies or issues related to eligibility or benefits. Collaborate with other departments or teams to ensure accurate information flow. Stay informed about relevant laws, regulations, and industry standards related to eligibility and benefits. Ensure compliance with all applicable guidelines and policies. Provide excellent customer service by responding to inquiries, addressing concerns, and assisting clients in understanding their benefits. Qualifications Any graduate or equivalent; additional education or certifications in healthcare administration or related fields may be preferred. Previous experience in eligibility verification, benefit analysis, or a similar role. Knowledge of insurance policies, financial assistance programs, or relevant benefits. Strong attention to detail and accuracy. Excellent communication and interpersonal skills. Compensation As per Industry standards Share with someone awesome View all job openings
About Job Role Prepare and submit medical claims to insurance companies accurately and in a timely manner. Ensure that all required documentation, such as medical records and invoices, is attached to support the claims Regularly follow up on unpaid or underpaid claims with insurance companies. Use various communication channels, including phone calls and written correspondence, to resolve outstanding issues. Investigate and address claim denials promptly. Determine the reasons for denials and take corrective actions to reprocess or appeal denied claims. Communicate effectively with insurance representatives to resolve claim issues and obtain information. Establish and maintain positive relationships with insurance companies to facilitate smoother claims processing. Communicate with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities. Assist patients with questions related to billing and insurance. Follow the organisation's policies, procedures, and compliance standards. Stay informed about changes in healthcare regulations that may impact billing practices. Required Skilled Sets Any graduate Prior calling experience would be an added advantage. Fluent verbal communication abilities. Willing to work in night shift (US shift) Good understanding of the overall Revenue Cycle Management to effectively work on AR. Compensation As per Industry standards Share with someone awesome View all job openings
Key Responsibilities Accurately code and abstract patient encounters, including diagnostic and procedural information, ensuring compliance with coding guidelines and regulations. Review and analyze medical records to identify documentation deficiencies and ensure that all necessary information is captured for reimbursement. Serve as a subject matter expert, providing guidance and support to other coding staff on best practices and coding conventions. Conduct audits of clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes. Assign codes for reimbursement purposes, ensuring adherence to regulatory requirements and internal policies. Identify discrepancies, potential quality of care issues, and billing problems, and recommend corrective actions to prevent future coding errors. Assist in training and mentoring junior coding staff, providing ongoing education on coding practices and updates in regulations. Handle special projects as assigned, contributing to process improvements and operational efficiency. Required Skills And Qualifications Certification as a Medical Coder is required. Strong knowledge of medical terminology, anatomy, and coding systems Excellent analytical skills with attention to detail to ensure accuracy in coding. Proficient in using electronic health record (EHR) systems and coding software. Strong communication skills, both verbal and written, to effectively interact with healthcare providers and team members. Ability to work independently and manage multiple priorities in a fast-paced environment. Familiarity with healthcare regulations, compliance standards, and best practices in coding. Education And Experience Bachelor’s degree in Health Information Management, Healthcare Administration, or a related field preferred. Previous experience in medical coding, preferably within a KPO or healthcare setting, is highly desirable. Share with someone awesome View all job openings
Company Description Integrity Healthcare Solutions Pvt Ltd in Ahmedabad provides end-to-end knowledge process outsourcing services to healthcare providers in the United States. Our services include Revenue Cycle Management (RCM), EMR and Practice Management software implementation, Quality Payment Program consulting services, Medical Transcription, Medical Coding, Remote Patient Monitoring, and customized software solutions for clients. Role Description This is a full-time on-site AR Caller / Medical Billing role at Integrity Healthcare Solutions Pvt Ltd located in Ahmedabad. The AR Caller will be responsible for managing accounts receivable for a physician or a group of physicians using a physician billing/AR management software. The day-to-day tasks include reviewing bills and claims for accuracy, following up with insurance companies, patients, and providers to resolve unpaid claims, answering billing questions, and providing documentation to support the claim. Qualifications Strong knowledge of the revenue cycle and medical billing practices Proficiency in physician billing/AR management software Excellent communication and customer service skills Ability to multitask and prioritize effectively Attention to detail and accuracy Knowledge of ICD-10, CPT, and HCPCS codes Experience in Revenue Cycle Management (RCM) preferred Bachelor's degree in Healthcare Administration, Business Administration, or related field
Company Description Integrity Healthcare Solutions Pvt Ltd in Ahmedabad provides end-to-end knowledge process outsourcing services to healthcare providers in the United States. Our services include Revenue Cycle Management (RCM), EMR and Practice Management software implementation, Quality Payment Program consulting services, Medical Transcription, Medical Coding, Remote Patient Monitoring, and customized software solutions for clients. Role Description This is a full-time on-site AR Caller / Medical Billing role at Integrity Healthcare Solutions Pvt Ltd located in Ahmedabad. The AR Caller will be responsible for managing accounts receivable for a physician or a group of physicians using a physician billing/AR management software. The day-to-day tasks include reviewing bills and claims for accuracy, following up with insurance companies, patients, and providers to resolve unpaid claims, answering billing questions, and providing documentation to support the claim. Qualifications Strong knowledge of the revenue cycle and medical billing practices Proficiency in physician billing/AR management software Excellent communication and customer service skills Ability to multitask and prioritize effectively Attention to detail and accuracy Knowledge of ICD-10, CPT, and HCPCS codes Experience in Revenue Cycle Management (RCM) preferred Bachelor's degree in Healthcare Administration, Business Administration, or related field