2108 Medical Billing Jobs - Page 49

Desired Candidate Profile: Excellent communication skills. Should have worked as a Credentialing Analyst, medical billing service providers. Good Knowledge in Provider credentialing. Good knowledge in clearing house setup. Electronic Data Interchange setup (EDI). Electronic Remittance Advice Setup (ERA). Establish Insurance Portals (EFT). Experience in Insurance calling. Good knowledge in filling insurance enrollment applications. Good experience in CAQH, PECOS application. Experience in Medicare, Medicaid, Commercial insurance enrollment. Positive attitude to solve problems. Knowledge of generating aging report. Preferred immediate joiners. Flexible with shift timings.

To complete the assigned task as per the protocol. Ability to adapt quickly. Good verbal and written communication skills are required. To handle day to day operations in RCM processes in the US Healthcare domain. Prioritize and complete the deliverables on-time delivery of service and quality of work. Understanding of RCM processes like Billing and Accounts Receivables Establish a strong relationship with Team Managers by submitting the desired task reports. Communicate effectively with Seniors. Willing to work in the night shift / US timings.

Key Responsibilities: Process and analyze medical claims from US healthcare providers and insurance companies. Understand various insurance policies, terminologies, and healthcare workflows (training provided). Handle denials, rejections, and resubmissions as per payer requirements. Ensure accuracy in data entry and maintain quality standards. Communicate effectively with team leads and follow-up on claim status or escalations. Maintain confidentiality and HIPAA compliance standards. Meet daily/weekly targets and productivity goals. Requirements: Bachelors Degree (Only – BCom, BBA, BA, BCA, are eligible to apply) Excellent written and verbal communication skills in English. Basic knowledge of MS Office and computer systems. Willingness to work in night shifts (US business hours). Strong attention to detail and problem-solving ability. Ability to work independently and as part of a team.

Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for International voice process[AR Caller] @ Global Healthcare!!!. Basic Requirements: Experience: Fresher Salary:20000 CTC Qualification: Any graduate Work Mode: WFO Shift: Night Job Location: Velachery Requirements of the role include: Good communication and Analytical Skills. Candidate should be willing to work in US shift (Night Shift). Only graduates are eligible. 5 days of work (Saturday and Sunday fixed ) Interested candidate contact or share your updated resume to 8925808594 [Whatsapp] Regards Selvi S 8925808594

Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyze medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Fresher & Experience in Medical coding & years of Experience consider is 0.6 to 5 years Maximum Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary Responsibilities: The coder will evaluate medical records to verify the plan of care for chronic medical conditions The coder will perform accurate and timely coding review and validation of Hierarchical Condition Categories (HCCs) and Diagnoses through medical records. The coder will document ICD-10-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment Guidelines The coder will assist the project teams by completing review of all charts in line with Medicare & Medicaid Risk Adjustment criteria Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered Evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC)conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information Meet the production targets Meet the Quality parameters as defined by the Client SLA Other duties as assigned by supervisors. Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Full-time: Yes Work from office: Yes Travelling Onsite / Offsite: No Required Qualifications: Any graduate experience Graduates in Medical, Paramedical or Life Science disciplines are preferred. Graduates from other disciplines may be considered subject to their ability to demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards AAPC/AHIMA Certification is mandatory (CRC is most preferred followed by CPC, CIC or COC) or AHIMA-CCS certified Work experience of 1+ years Medical coding work experience of a minimum of 1 year is required. HCC coding work experience is highly preferred. Experience in other medical coding work experience can be considered provided they demonstrate technical competence in ICD-10 CM and risk adjustment guidelines and standards Good knowledge in Anatomy, Physiology & Medical terminology At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Under direct supervision, the Inpatient Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-10-CM, and ICD-10-PCS codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS guidelines for reporting surgical services, Coding Clinic articles published by the American Hospital Association, and Client Coding Guidelines. Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA. CIC certification preferred 4+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience #NTRQ At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NTRQ

Primary Responsibilities: Be able to implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines Be able to review and analyse medical records and add/modify CPT codes for minor surgical procedures, vaccines, and laboratory CPT codes as per documentation Be able to extract and code various screening CPT codes and HCPCS codes from the documentation Be able to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded, and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so#NTRQ Required Qualifications: Graduate Certified coder through AAPC or AHIMA Certifications accepted include CPC, CCS, CIC and COC Anyone Current coding certifications and must provide proof of certification with valid certification identification number during interview or Offer process Sound knowledge in Medical Terminology, Human Anatomy and Physiology Knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Basic understanding of the ED/EM levels based on MDM and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proficient in ICD-10-CM, CPT, and HCPCS guidelines At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together Primary Responsibilities: Review and analyze patient medical records for accurate code assignment Ensure adherence to coding guidelines and regulatory requirements Learn to use medical coding software Apply understanding of anatomy and physiology to interpret clinical documentation and identify applicable medical codes Stay updated on industry changes and attend relevant training sessions Ensure confidentiality and security of all patient information Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do #NTRQ Required Qualifications: Bachelors degree or masters degree, from a medical science backdrop or anything relevant Life Science or Bioscience, Pharmacy or Pharmaceutical Sciences, Nursing or Medicine Allied Health Good knowledge in medical terminology basics Good knowledge in Anatomy physiology basics Well-versed with ICD-10 guidelines and their implementation Proficient in reviewing medical records and determining the accuracy and completeness of the document Preferred Qualifications: AAPC/AHIMA Certification Risk Adjustment coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direct supervision, the Surgery Coder is responsible for accurate coding of the professional services (diagnoses, procedures, and modifiers) from medical records in a hospital/clinic setting. Analyzing the medical record, assigning ICD-CM, CPT, and HCPCS Level II codes with appropriate modifiers. Medical coding is performed in accordance with the rules, regulations and coding conventions of ICD-10-CM Official Guidelines for Coding and Reporting, CPT guidelines for reporting professional and surgical services, CMS updates, Coding Clinic articles published by the American Hospital Association, assigning codes from HCPCS code book for supplies and equipment, NCCI Edits, and Client Coding Guidelines. Primary Responsibility: Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Surgery centre and hospital Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines An ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity. Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines. Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates with certification from AAPC or AHIMA 2+ years in multispecialty Surgery Hands-on experience in coding multispecialty Surgical services such as Orthopaedics Dermatology, Gastroenterology, Cardiology, Otolaryngology, ENT, Eye, OBGYN etc. Sound knowledge in Medical Terminology, Human Anatomy & Physiology Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Proficient in ICD-10-CM, CPT, Modifier and HCPCS guidelines Proven ability to code 4-6 charts per hour and meeting the standards for quality criteria Proven expertise in determining the correct CPT for procedures performed and appending modifiers to CPT codes as per NCCI edits and CPT guidelines Proven ability to check NCCI edits and LCD & NCD coverage determinations and modify ICD-10-CM codes, CPT codes, and modifiers accordingly At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NJP #NTRQ

Primary Responsibilities: To be an effective participant in Class room training and clear the training assessments with 85% quality Consistently meet the targets set for MOCK charts Eligible employee will get confirmed as Junior Coder within a max of 6 months from the Joining Punctuality, Attendance and General Adherence to company policies, procedures and practices Strives to provide ideas to constantly improve the process Ensure adherence to external and internal quality and security standards (HIPPA/ISO/ISMS) Be an effective team player Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so #NTRQ Eligibility To apply to an internal job, employees must meet the following criteria: SG 22 can apply will move laterally Performance rating in the last common review cycle of Meets Expectations or higher Not be on any active CAP (Corrective Action Plan) or active disciplinary action Time in Role Guidelines Should have been in your current position for a minimum of 12 months, if you have not met the recommended minimum time in role, discuss your career interest with your manager and gain alignment prior to applying. And share the alignment email with respective recruiter while applying Required Qualifications: Any degree in Life Science or Bio-Science Any degree in Pharmacy or Pharmaceutical Sciences Any degree in Nursing or Allied Health Any degree in Medicine At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission.

Primary Responsibilities: Identify appropriate assignment of ICD 10 CM and ICD 10 PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility Abstract additional data elements during the Chart Review process when coding, as needed Adhere to the ethical standards of coding as established by AAPC and / or AHIMA Ability to code 1.5-2.5 charts per hour and meeting the standards for quality criteria Needs to constantly track and implement all the updates of AHA guidelines Provide documentation feedback to providers and query physicians when appropriate Maintain up to date Coding knowledge by reviewing materials disseminated / recommended by the QM Manager, Coding Operations Managers, and Director of Coding / Quality Management, etc. Participate in coding department meetings and educational events Review and maintain a record of charts coded, held, and / or missing Be an ideal team player who can work in a large group and provide inputs to the team for betterment of the team in terms of quality and productivity Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a timeframe that will assure compliance with regulatory and client guidelines Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records Demonstrates knowledge of security of systems and associated policies and procedures for maintaining the security of the data contained within the systems Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so Required Qualifications: Life Science or Allied Medicine Graduates Certification from AAPC or AHIMA (CIC certification preferred) 5+ years of Acute Care Inpatient medical coding experience (hospital, facility, etc.) Experience with working in a level I trauma center and / OR teaching hospital with a mastery of complex procedures, major trauma ER encounters, cardiac catheterization, interventional radiology, orthopedic and neurology cases, and observation coding ICD 10 (CM & PCS) and DRG coding experience At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyoneof every race, gender, sexuality, age, location and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes an enterprise priority reflected in our mission. #NJP

TATA AIG General Insurance Company Limited is looking for Deputy Manager - Health Claims to join our dynamic team and embark on a rewarding career journey Assist the Manager in the day-to-day operations of the business, including setting goals, developing strategies, and overseeing the work of team members Take on leadership responsibilities as needed, including managing team members and making decisions in the absence of the Manager Identify and address problems or challenges within the business, and develop and implement solutions Collaborate with other departments and teams to ensure smooth and efficient operations Maintain accurate records and documentation Contribute to the development and implementation of business plans and goals

Job Description: Reduce AR aging of clients and increase their cash flow. Ensure that AR aging always meets industry standards. Review and analyze unpaid or denied insurance claims. Contact insurance companies to follow up on outstanding claims, determine the reason for non-payment, and resolve any issues leading to delays or denials. Constantly keep track of both electronic and paper claims. Identify claims that have been denied and prepare necessary documentation for appeals. Resubmit corrected claims with accurate information and supporting documents as required by the insurance company. Investigate and resolve discrepancies in billing records, such as incorrect coding, missing information, or duplicate charges. Coordinate with internal departments to ensure accurate billing practices. Maintain detailed and organized records of all communication, interactions, and follow-up actions taken with insurance companies, and other relevant parties. Analyze reasons for claim denials and work with billing and coding teams to address underlying issues. Implement strategies to minimize future claim denials. Verify patient insurance coverage and eligibility, ensuring accurate and up-to-date information is available for claims submission. In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transferring the outstanding balance to the patient. Monitor aging reports to identify and prioritize accounts that require immediate attention. Take proactive measures to expedite payment collection on aging accounts. Collaborate with colleagues in billing, coding, and revenue cycle departments to ensure seamless communication and resolution of payment related issues. Adhere to HIPAA regulations and industry standards to maintain patient confidentiality and ensure compliant billing practices. Qualifying Criteria: Strong knowledge of medical billing and insurance procedures, including CPT and ICD-10 codes. At least 1+ year of experience in AR Calling in an Accounts Receivable process in US Healthcare (End to End RCM Process) Ability to multi-task Good organization skills demonstrating the ability to execute timely follow-ups Willingness to be a team player and show initiative where needed Ready to work in night shifts Excellent oral and written communication skills Salary : Remuneration will be at par with the best industry standards ; will not be a constraint for the right candidate. Perks & Benefits : Attractive Incentives Plan Travelling Allowance Mediclaim Monthly Rewards Interested Candidate can also share their resumes directly to the recruiters below: priyankam@first-insight.com Address details: Registered Office Address- Pune: First Insight Software Solutions (I) Pvt. Ltd., 4th Floor, Gaikwad Avenue, AG Technology Park, Off ITI Road, S. No.127/1A, Plot No.8, Aundh, Pune 411 007 Mumbai : Unit No. 302, 3rd Floor, New Technocity, Plot No. X-4/5A, TTC Industrial Area, Mahape MIDC, Navi Mumbai - 400 710 Nagpur : Unit No. 501, 5th Floor, Wing - C, VIPL IT Park, Plot No. 28, MIDC IT Park, Gayatri Nagar Road, Parsodi, Nagpur - 440 022

So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because its time to imagine what its like being a Senior Operations Manager. TaskUs is the fastest growing tech-enabled business services company in the world. We exist to provide ridiculously innovative customer support, AI operations, and content security to the worlds most disruptive companies We believe our Frontline employees come first, always. At TaskUs, leaders eat lastin other words, we expect you to put your line of direct reports before yourself. We think in terms of #FrontlineFirst because we know good ideas can come from anyone at anytime. Thats probably why were ranked 40th on Glassdoors 2019 100 Best Places to Work list. A special place requires special people. Qualified candidates have a sense of humility, an adventurous spirit, and a relentless work ethic. If you are looking for more than the standard 9 to 5, youve found it. We exist to make the worlds best companies better. We aim to have fun while doing it. So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because its time to imagine what its like being a Senior Operations Manager. Imagine yourself going to work with one thing on your mind: in a company like TaskUs, its more than just the KPIs if you want to solve business problems through innovation. As you tackle your new tasks for the day, you know that it will all lead to one thing that your department believes in: to provide the best possible customer experience to your clients. As a Senior Operations Manager, you will oversee and direct the activities of a number of campaigns along with all Operations Managers, Team Leaders and Staff assigned to his campaigns. You will also be responsible for a wide spectrum of responsibilities and must be able to multitask with ease and proficiency. Along with this, you are also responsible for the regular and often daily interactions with all the company departments/ campaign team leaders and the whole management team. Maintain an open line of communication between staff and senior management. You will manage and staff the operations assigned. You will also be responsible for all aspects of operations which include but not limited to monitoring operations staffing, provide temporary coverage and training; provision of excellent clientele service, problem resolution and the like. What else? Well, you will also develop individual & team goals and implement a plan to carry out objectives. You will guide Operations Managers in a meeting of all team & individual goals. Along with this, you must ensure compliance with all established policies and procedures. You also need to also Assist the Operations Director in crafting operations procedures. So, do you have what it takes to become a Senior Operations Manager? Requirements: So, what is it were looking for? Well, since this is a Senior Operations Manager post, we need someone who already has the skills to even call themselves a Senior Operations Manager! In other words, someone who has at least 3 years of related working experience, preferably someone who has experience in being a Senior Manager/Director specializing in BPO Operations and Management or equivalent We need someone who has handled at least 600 FTEs. Someone with strong computer skills, especially in using MS Office applications and Google applications. We need someone whos responsible and has a good track record of meeting and delivering targets. Someone who can articulate him/herself well enough with others, like teammates and clients. So definitely someone with excellent verbal and written communication and customer service skills. We need someone who can multitask and work in a fast-paced high-stress environment. Someone who can lead and is great in analyzing situations and data. Someone who has the ability to build productive business relationships with clients. Someone who has strong organizational, analytical and managerial skills. Lastly, we need someone who possesses a professional, courteous, and resilient attitu Role & responsibilities Role & responsibilities

So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because its time to imagine what its like being a Senior Operations Manager. TaskUs is the fastest growing tech-enabled business services company in the world. We exist to provide ridiculously innovative customer support, AI operations, and content security to the worlds most disruptive companies We believe our Frontline employees come first, always. At TaskUs, leaders eat lastin other words, we expect you to put your line of direct reports before yourself. We think in terms of #FrontlineFirst because we know good ideas can come from anyone at anytime. Thats probably why were ranked 40th on Glassdoors 2019 100 Best Places to Work list. A special place requires special people. Qualified candidates have a sense of humility, an adventurous spirit, and a relentless work ethic. If you are looking for more than the standard 9 to 5, youve found it. We exist to make the worlds best companies better. We aim to have fun while doing it. So what does a Senior Operations Manager really do? Think of yourself as one of the leaders of your department, so not just anyone is qualified for this role! Here at TaskUs, we make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top notch. Come on now, we need your full attention because its time to imagine what its like being a Senior Operations Manager. Imagine yourself going to work with one thing on your mind: in a company like TaskUs, its more than just the KPIs if you want to solve business problems through innovation. As you tackle your new tasks for the day, you know that it will all lead to one thing that your department believes in: to provide the best possible customer experience to your clients. As a Senior Operations Manager, you will oversee and direct the activities of a number of campaigns along with all Operations Managers, Team Leaders and Staff assigned to his campaigns. You will also be responsible for a wide spectrum of responsibilities and must be able to multitask with ease and proficiency. Along with this, you are also responsible for the regular and often daily interactions with all the company departments/ campaign team leaders and the whole management team. Maintain an open line of communication between staff and senior management. You will manage and staff the operations assigned. You will also be responsible for all aspects of operations which include but not limited to monitoring operations staffing, provide temporary coverage and training; provision of excellent clientele service, problem resolution and the like. What else? Well, you will also develop individual & team goals and implement a plan to carry out objectives. You will guide Operations Managers in a meeting of all team & individual goals. Along with this, you must ensure compliance with all established policies and procedures. You also need to also Assist the Operations Director in crafting operations procedures. So, do you have what it takes to become a Senior Operations Manager? Requirements: So, what is it were looking for? Well, since this is a Senior Operations Manager post, we need someone who already has the skills to even call themselves a Senior Operations Manager! In other words, someone who has at least 3 years of related working experience, preferably someone who has experience in being a Senior Manager/Director specializing in BPO Operations and Management or equivalent We need someone who has handled at least 600 FTEs. Someone with strong computer skills, especially in using MS Office applications and Google applications. We need someone whos responsible and has a good track record of meeting and delivering targets. Someone who can articulate him/herself well enough with others, like teammates and clients. So definitely someone with excellent verbal and written communication and customer service skills. We need someone who can multitask and work in a fast-paced high-stress environment. Someone who can lead and is great in analyzing situations and data. Someone who has the ability to build productive business relationships with clients. Someone who has strong organizational, analytical and managerial skills. Lastly, we need someone who possesses a professional, courteous, and resilient attitu Role & responsibilities Role & responsibilities

Mega Walk-in Drive for AR Callers (US Healthcare) - Associate Walk-in Date: 21st of June 25 Time: 10:30 AM-12:30 PM Venue: HCL Technologies, Sez 602 /3 Sholinganallur Village Medavakkam High, Chennai, Tamil Nadu Contact Person: Shinaz Shift: Night Shift(US Shift) JOB SUMMARY We seek an experienced RCM Customer Service Executive Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts. KEY WORDS Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM. RESPONSIBILITIES: Review and analyze denied claims to identify root causes and trends. Develop and implement strategies to reduce claim denials and improve reimbursement rates. Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims. Prepare and submit appeals for denied claims, ensuring all necessary documentation is included. Monitor and track the status of appeals and follow up as needed. Maintain accurate records of all denial management activities and outcomes. Provide regular reports on denial trends, appeal success rates, and other key metrics to management. Stay updated on industry regulations and payer policies to ensure compliance. REQUIRED SKILLS: Strong verbal and written communication skills Should possess neutral accent and good adoption to US culture. Ability to resolve provider queries in the first point of contact. Focus on delivering a positive customer experience Should be professional, courteous, friendly, and empathetic Should possess active listening skills Good data entry & typing skills Ability to multi task. Capable of handling fast-paced, innovative, and constantly changing environment Should be a team player. Ability to contribute to the process through improvement ideas. FORMAL EDUCATION AND EXPERIENCE Graduate (any stream) 0.6 months - 24 months of process experience in AR calling Heath Care, with knowledge of Denials and RCM.

******READ POST BEFORE APPLYING****** Interview Process: 1- Online Assessment (50 MCQ's based on RCM knowledge and Aptitude) 2- Virtual Interview Weekends Off Skills Required : Minimum 3+ years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Eligibility Verification OR Credit Balance Report OR Medical Billing Expertise in medical billing end to end RCM Strong knowledge on various denials and remark codes and able to take immediate action to resolve them and follow up on the claims for collection of payment Monitor and analyze RCM process errors Audit error corrections both short- and long-term Quantify error rates and their trends individually, by team, by client, and by client pool Analyze the errors to build training materials and tests Create automation solutions to reduce error rates Should be able to resolve billing issues that have resulted in delay in payment Responsible for call/data quality monitoring Provide feedback to agents using the prescribed feedback model Mentoring and coaching agents on process-level issues Monitor adherence to compliance procedures and processes Responsible for reporting program-level quality scores to the process owners Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team Conduct refresher training on the basis of the errors identified Perform weekly analysis aiming at improving SLA Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team Identify and highlight potential risk areas and recommend preventive action Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board

Skills : AR Caller, worked on End-to-End process & Denial Management Mode: WFO/WFH - Night shifts - US Shifts Location: Near by Madhavaram (Near by candidates Preferred) for WFO Roles and responsibilities: Candidates with 3+ years of experience in AR Caller experience is required. AR callers completely into denial management are preferred. Who has handled end to end calling and end actions to resolve claims. Preferably worked on Physician billing process, with excellent communication skills. Responsible for calling insurance companies in the US to collect outstanding on behalf of physicians. Good academic record. Organizing and Completing tasks according to assigned priorities. Calling Insurance agents on claims resolutions and handling the denials for a closure. Appropriate documentation of the claims is required on Client Software. Strong knowledge of Denial Management. Required Candidate profile: Basic Keyboard skills and knowledge of MS Office. Candidate should be willing to work the night shift in different US time Zones. Communication, Analytical & resolution skills. Only Looking for AR caller !! Share your resume along with your last three months' pay slips @hr@acpbillingservices.com Whatsapp @David 9841820311 you can also email the details to hr@acpbillingservices.com with the below-mentioned details. Work Location: ACP Billing Services Pvt Ltd NO.133, 2ND FLOOR, EJNS ARK, KP GARDEN STREET, MADHAVARAM HIGH ROAD, MADHAVARAM Chennai- 600 051.Land Mark: Next to ICICI Bank Madhavaram Branch

Key Responsibilities • Handle medical billing tasks related to US-based healthcare clients. • Follow up with insurance companies regarding claims. • Ensure timely documentation and claim resolution. • Maintain quality and productivity benchmarks. Eligibility Criteria • HSC or Graduate freshers can apply. • Candidates with minimum 6 months BPO or domestic work experience are preferred for higher roles. • Basic communication and computer skills are required. Call Sukhjit : 7391077621. Praveen: 7391077622.

Immediate openings for Assistant Manager - AR @EqualizeRCM, Coimbatore. Job Description Oversee the entire revenue cycle process, including patient registration, insurance eligibility & Benefits verification, charge capture, coding, billing, and payment collection/posting (Must have good hands-on Basic Claims Adjudication, AR & Denial Management/Appeals Process). Manage a team of accounts receivable and billing professionals, including hiring, training, and performance evaluations. Ensure that all coding and billing practices are compliant with government regulations and industry standards, including HIPAA and CMS guidelines. Monitor and analyze revenue cycle metrics to identify areas of improvement and implement process improvements to optimize revenue cycle performance. Work with internal and external stakeholders, including healthcare providers, insurance companies, and patients, to resolve billing and payment-related issues. Work with team on the identified roadblocks / potential problems for processes/procedures and implement possible solutions to avoid any delivery impact. Collaborate with clinical staff, billing staff, and other stakeholders to improve the revenue cycle management process. Monitor key performance indicators and adjust processes as needed to meet goals. Conduct regular training and education sessions to keep staff up to date on changes in regulations and best practices. Qualification: Degree in any related field.10+ years of experience in Revenue Cycle Management in the US healthcare industry. Location: Mysuru Salary : 8 LPA to 9 LPA Key Skills 10+ years experience overseeing the end-to-end Revenue Cycle Management (US Healthcare). Should have strong domain knowledge with ability to handle a team size of up to 50 people across multiple functions like Eligibility Verification, Prior Authorization, AR, Denial Management, Billing and preferably payment posting. Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with executive leadership and all levels of the organization. Proficient in MS Office applications, especially in MS Excel. Should have exposure in complete medical billing cycle understanding each process. Should be a team player and collaborate in solving any issues that might possibly arise in day-to-day transactions. Should have a very good knowledge & Control on Production/Quality & Attrition Management Interested candidates please share your resume to 6374744958 (Available on WhatsApp)

Urgently Required AR Callers!!! . Min 1 year Exp in AR calling in Denials For more details contact: Sushmi - 7397286767 Alice - 7305188864 Subasri - 7358321828 Dharshini - 7397391472 Arshiya - 7305155583 Required Candidate profile Salary & Appraisal - Best in Industry. Excellent learning platform with great opportunity. Only 5 days working (Monday to Friday) Two way cab will be provided. Dinner will be provided.