3932 Medical Billing Jobs - Page 21

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations Audit claims as outlined by Policies and Procedures. Utilize appropriate system-generated reports applicable for specialty claims. Document, track findings per organizational guidelines for reporting purpose. Based upon trends, determine ongoing Claims E...

Senior Accounts Receivable Callers (Senior AR Callers) - Chennai Grow your career as an AR caller with Medical Billing Wholesalers, one of the fastest growing offshore medical billing companies. At MBW, normal is truly boring. We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge on the process, and grow your career. Do you have excellent spoken English skills and some experience as an account receivables caller? Apply now! Job Description Review the claim allocated and check status by calling the payer or through IVR /Web Portal Ask a series of relevant questions depending on the issue with the claim and record the responses Prepar...

Job Summary : We are seeking a detail-oriented and experienced Payment Posting and Reconciliation Specialist to join our medical billing team. The ideal candidate will be responsible for accurately posting payments, reconciling accounts, and ensuring that all transactions are properly documented and recorded. This role is critical in maintaining the financial accuracy of our clients. Key Responsibilities : - Accurately post all payments received from insurance companies, patients, and other sources into the billing system. - Reconcile daily deposits and electronic fund transfers (EFTs) to ensure all payments are accounted for and discrepancies are resolved. - Verify and adjust account balanc...

Position - Pvt Client Group Advisor - B2B Franchisee Partner Alliance, Equity & Investment Products 1) Acquisition of Franchisee, IFA (Independent Financial Advisors) & Remisier. 2) Build rapport with these Partners & help them on-board their clients across products. 3) Conduct training of Partners for all our products across Direct Equity & Investment products like Mutual Funds, Portfolio Management Services (PMS), AIFs, Insurance, Bond, Fixed Deposit etc with the help of products & training team. 4) Ensure best services to the Partners (Franchisees, IFAs). 5) Help distributors on joint calls. Skills Experience - 1. Should be from Broking Industry with minimum of 2 years of experience. 2. B...

Position - Pvt Client Group Advisor - B2B Franchisee Partner Alliance, Equity & Investment Products 1) Acquisition of Franchisee, IFA (Independent Financial Advisors) & Remisier. 2) Build rapport with these Partners & help them on-board their clients across products. 3) Conduct training of Partners for all our products across Direct Equity & Investment products like Mutual Funds, Portfolio Management Services (PMS), AIFs, Insurance, Bond, Fixed Deposit etc with the help of products & training team. 4) Ensure best services to the Partners (Franchisees, IFAs). 5) Help distributors on joint calls. Skills Experience - 1. Should be from Broking Industry with minimum of 2 years of experience. 2. B...

We have vacancy for Ar caller- Work from office. Experience Ar caller - US voice process US Shift- Night shifts Experience :1-3 years AR calling Speciality : Hospital Billing Salary :40000 Max TH Qualification: undergraduate/graduate Work location : Thoraipakkam Chennai Two way Cab provided Preference : Immediate joiners Telephonic interview Please call Durga 9884244311 for mor info Regards Durga 9884244311

Job description Role & Responsibilities : Daily updating of OP & IP bills, generation and distribution of interim bills / final bills to patients for services provided. Maintain Admission and Billing Registration Explaining the patients about various facilities, schemes and promotional packages Attending telephone calls and giving proper replies. Update room-wise census as and when patient gets admitted/ discharged. Conduct patient bill assessment on a daily basis for all inpatients and initiate advance deposit augmentation wherever the bill exceeds the credit limit. Undertake cash collections and prepare collection summary and submit the same to HOD/ Bank for safe keeping at the end of the ...

We are hiring for Leading ITES Company for AR Caller - Healthcare Profile Location: Hyderabad Salary: Upto 32k in hand Role & responsibilities: Responsibilities: Minimum 1 year experience in AR Calling in medical billing field Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Good Knowledge of RCM and Denial management. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates ...

Role Overview: As a detail-oriented and experienced Health Claims Specialist, you will be responsible for accurately processing and adjudicating medical claims according to company policies, industry regulations, and contractual agreements. Your role will involve ensuring timely processing of healthcare service claims, maintaining high standards of accuracy and efficiency, and providing exceptional customer service to internal and external stakeholders. Key Responsibilities: - Review and analyze medical claims for accuracy, completeness, and compliance with insurance policies and regulatory requirements. - Verify patient eligibility, insurance coverage, and benefits to determine claim validi...

As a part of Resolv, you will be joining a team dedicated to improving financial performance and patient experience in healthcare revenue cycle operations. Your primary responsibilities will include: - Claims Follow-Up & Collections: - Monitoring outstanding insurance claims and patient balances, and conducting timely follow-ups with insurance providers. - Reconciling daily AR reports and accounts to track collections and pending claims. - Identifying and escalating billing errors or discrepancies for resolution. - Denial Management & Appeals: - Analyzing denial trends and collaborating with the billing team to correct recurring issues. - Preparing and submitting appeals for denied or underp...

As an AR Caller in the Medical Billing (Voice Process) role, your primary responsibility will be to follow up with insurance companies (US-based) for claim status and resolve denied/rejected claims. You will also be required to update and maintain patient account information, as well as work collaboratively with the billing team to maximize revenue. Qualification Required: - You should possess excellent English communication skills. - The minimum qualification required is 12th pass with a minimum of 6 months BPO experience, or a Graduate/Post Graduate degree. - You should be comfortable working night shifts. (Note: Recent B.Tech pass-outs are not eligible) Salary & Benefits: - Freshers will ...

As a Medical Billing Specialist in the Voice Process department, you will be responsible for the following key tasks: - Handling medical billing inquiries and resolving issues over the phone. - Ensuring accurate and timely submission of medical claims. - Following up on outstanding claims and appealing denials. - Providing excellent customer service to patients and insurance companies. To excel in this role, you will need the following qualifications: - Previous experience in medical billing or healthcare administration. - Proficiency in using billing software and MS Office applications. - Strong communication and problem-solving skills. - Ability to work efficiently in a fast-paced environm...

Int. voice process US Process Location : AHMEDABAD 5days working Saturday-Sunday off Salary : 20K CTC ( FRESHERS ) Up to 35K CTC (EXPERIEND ) Night Shift CAB FACILITY AVAILABLE GRADUATION MANDATORY NO TARGET AND NO SALES

4-6 Year Work ex. and already playing a BA role. Mandatory Capital market (Trading) experience. Trade Regulatory reporting is good to have. Have Requirement gathering and documentation experience. Open for Hybrid working mode (3 Day WFO) Stakeholder management and team player attitude and proactive. Mandatory Competencies BA - Business Knowledge BA - Client Interaction BA - Communication - Verbal, Written BA - Business Analyst - Requirement Gathering Soft Skills / Leadership skills - Soft Skills / Leadership skills - Stakeholder Management FS Domain - Capital Markets & Investment Banking - Regulatory Reporting

International Voice process Location : AHMEDABAD US Shift 5 Days Working Saturday - Sunday Fixed off Cab facility available Salary : 20k CTC (FRESHER) Up to 35K CTC (EXPERIENCED)

Role & responsibilities Identify, analyze, and manage all issues about claims edits and rejects Must possess strong working knowledge of CPT, ICD10, Denials, edits, rejects. Active participation in weekly calls; top edits and rejects review call with the onshore team Demonstrate ability in managing projects with multi-disciplinary teams, with exceptional relationship-building skills. Ability to effectively speak with providers, employees, and all levels of staff within the company. Practical work experience desired in client relations, implementation and support, and process planning and improvement. Proficient in Microsoft Office (Excel, Word, PowerPoint, Outlook). Strong work ethic and pro...

Role Objective Identifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claims Essential Duties and Responsibilities Denied Claim Reviews/Account level reviews Identifying themes/trends through data reviews Coordinating with requirement stakeholders on the issues/themes/trends identifies Publishing assigned reports/tasks Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement. Identifying automation/process efficiencies Maintain a strong focus on identifying the root cause of denials while creating sustainable solutions to prevent future denials. Able to interact independently with counterparts i...

Role Objective Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company. Essential Duties and Responsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. Manages people and drives retention Analysis data to identify process gaps, prepare reports Performance management First level of escalation Work in all shifts on a rotational basis Need to be cost efficient with regards to processes, resource utilization and overall constant cost ma...

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Gra...

Role Objective: Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards the payment of a claim. The cash/payment posting staff posts these payments immediately into the respective patient accounts, against that claim to reconcile them. Essential Duties and Responsibilities: Need to work on payment posting and denial batches. Must work on ERA discrepancies. Need to do bank reconciliation. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint Qualifications: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (both ...

About R1 Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication S...

We are looking for Analyst / Senior Analyst (Medical Transcriptionist Direct Upload) Technical Skills Proficient on escription, eS O ne/ Em dat & Fluency for Transcription (FFT) Platform. Eligibility criteria Any Undergraduate, Graduate or Post-graduate Should be trained, preferably certified and a relevant work experience with minimum 2 years as a Medical Transcriptionist/ Editor . Must be able to coordinate with managers and team. Members to ensure adequate client/customer support coverage. Must have excellent time management skills. Must be able to maintain multiple site information and must be able to multitask. Must be ready to work in a 24/7 environment with majority of time working in...

Roles & Responsibilities: Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate. Should have calling skills, probing skills and denials understanding. Work in all shifts on a rotational basis. No Planned leaves for next 6 months Requirements: Graduate in any discipline from a recognized educational institute. Good analytical skills and proficiency with MS Word, Excel, and PowerPoint. Good communication Skills (bo...

Role- Medical Coder: We are looking to hire an experienced Coder / Sr. Coder with active coding certifications (CPC / CPC-A / CIC / CCS / COC). With strong domain expertise in CPT and ICD (diagnosis) coding, the incumbent should be able to validate the coding after reviewing all relevant medical records ensuring codes are accurate and sequenced correctly in accordance with government and insurance regulations. Working in an evolving healthcare setting, delivering innovative solutions using our shared expertise. Using opportunities to learn and grow through rewarding interactions, collaboration, and the freedom to explore professional interests. Giving priority always to what is best for our ...

Responsibilities: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Follow up with the provider on any documentation that is insufficient or unclear. Communicate with other clinical staff regarding documentation. Search for information in cases where the coding is complex or unusual. Receive and review patient charts and documents for accuracy. Review the previous day's batch of patient notes for evaluation and coding. Ensure that all codes are current and active. Requirements: Education Any Gra...