Operations Manager - Medical coding Cotiviti India

2.0 - 6.0 years

0 Lacs

pune, maharashtra

On-site

As an Operations Manager, you will be responsible for supporting a growing client base and managing the day-to-day operational activities of the production team. Your role will involve coordinating with both internal and external teams to ensure the team delivers projects as per set expectations while maintaining the required quality standards. **Key Responsibilities:** - Supervise the day-to-day operations and effectively manage a team of production analysts/Team Leads on the assigned project. - Ensure the team delivers 100% on projects within the contracted turn-around-time and meets accuracy metrics as per client SLA. - Optimize staff utilization and manage shrinkage to meet daily deliver...

Posted 6 days ago

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Manager Healthcare Consulting UST

5.0 - 9.0 years

0 Lacs

chennai, tamil nadu

On-site

As a candidate for this role, you should be prepared to join immediately and can share your details via email at nitin.patil@ust.com for quick processing. Role Overview: You will be responsible for identifying and driving strategic value creation opportunities across operations and financial functions. Your role will involve providing consulting advisory services in operating model design, performance improvement, change management, and technology enablement. Additionally, you will lead the creation of project plans, manage budgets, timelines, and resource allocations. Collaboration with internal sales and delivery teams to define go-to-market strategies and win new business will also be a k...

Posted 1 week ago

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Medical Billing Specialist - Cardiology Falconre Technohealth Business Solutions Pvt.Ltd

5.0 - 9.0 years

0 Lacs

coimbatore, tamil nadu

On-site

You are an experienced Billing Specialist (Cardiology) with a minimum of 5 years of expertise in cardiology billing. You possess a deep understanding of medical billing, coding, insurance claims, and revenue cycle management specific to cardiology. Your role involves accurately processing cardiology-related claims (CPT, ICD-10, HCPCS codes), verifying insurance eligibility, and ensuring timely submission to insurance providers. You must maintain compliance with HIPAA, Medicare, Medicaid, and private insurance billing regulations while collaborating with physicians, administrative staff, and insurance providers to resolve billing discrepancies. Utilization of EHR/EMR systems (e.g., Epic, Athe...

Posted 1 month ago

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Dispute Resolution II Zelis

5.0 - 9.0 years

0 Lacs

hyderabad, telangana

On-site

As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensu...

Posted 1 month ago

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Manager Healthcare Consulting (HealthEdge & Core Admin Transformation) UST

5.0 - 9.0 years

0 Lacs

chennai, tamil nadu

On-site

The ideal candidate for this role should be ready to join immediately and can share their details via email for quick processing. Please send your information to nitin.patil@ust.com to receive immediate attention. Roles & Responsibilities: - Identify and drive strategic value creation opportunities across operations and financial functions. - Provide consulting advisory services in operating model design, performance improvement, change management, and technology enablement. - Lead the creation of project plans, manage budgets, timelines, and resource allocations. - Collaborate with internal sales and delivery teams to define go-to-market strategies and win new business. - Build client relat...

Posted 2 months ago

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