7 Modifier Jobs

Greetings!! We have immediate Hiring for Charge Entry !!!!! Requirements : Minimum one year of experience in Charge entry process & DEMO entry. Knowledge of DEMO entry is Mandatory The candidate must know about E&M CPT codes (starts with 99202 99215). Must know the modifiers usage. At least 25, XU, 59, RT & LT They should know about the place of service & Medical record review purpose. Should have sound knowledge of general medical billing. To know to check insurance Eligibility Need minimal iCD-10 knowledge. Medical Billing | US Healthcare Salary: Based on Performance & experience Freshers do not apply Exp: Min 1 year Required Joining: Immediate Joiner / Maximum 7 days *******Work from office only and No REMOTE****** Interview time - Monday to Friday ( 10 am to 5 pm ) Contact person - REKHA HR ( 9043004654 ) Bring 2 updated resumes (If you coming for a direct walk -in Mention REKHA HR in your resume) If you're interested in joining Novigo, Call / Whatsapp ( 9043004654 ) - HR REKHA Location : Chennai, Ekkattuthangal https://maps.app.goo.gl/RofTmw39pxYZh7er6

Job Title: Senior Associate - Charge Entry Years of Experience: 2-3 years Shift Timings: day shift (9:00 AM to 6:00 PM) Location: Hyderabad, Telangana Additional Comments Candidate should have good aptitude along with OBGYN speciality experience. Preferrable candidates carrying ECW & EPIC practice management systems hands-on experience. Expected Qualities: • Integrity • Attention to detail. • Creative- Out of the Box thinking • Challenger of the status quo • Organized • Passionate Job Requirement: • Basic knowledge of CPT and ICD codes and modifiers, DME, Specialty-specific CPT series, Medicare codes, CMS-1500, UB-04 form. • Should have knowledge to read and analyse the Medical Notes. • Should have knowledge about encounter/face sheets and/or registration forms/ Super-bills/Facility-Place of Service/DOS. • Should have knowledge of Provider information, Insurances and associated Plans, checking eligibility, prior-authorizations, Referrals, adding Referring Physicians, posting payments, retrieving documents and submission of claims. • E/M-Office charge entry and Hospital Billing. Medicare and Medicaid guidelines. • Knowledge of HIPAA regulations. • Must be available for 2-3 days hands-on evaluation. • Must be proficient in MS Excel and Word. • Next Gen experience is an added advantage. Contact Info: Shivani: 8341128389

Medical Coding or Denials Trainee Job Category: Medical Services Job Type: Full Time Job Location: Bangalore Salary: 3-3.5L PA Years of Experience: 0-1yr Key Responsibilities: Analyze and interpret concepts to ensure accurate configuration in line with medical coding, billing, and reimbursement guidelines. Analyze medical coding, reimbursement guidelines and configure logic to support accurate concept execution. Conduct in-depth reviews of contracts, policies, and federal/state regulations to formulate edit requirements. Apply industry coding guidelines to claims processes effectively. Demonstrate experience in analyzing and resolving coding issues for payment integrity purposes. Analyze, develop, and implement system configurations. Collaborate with subject matter experts (SMEs) and technical teams to translate regulatory and policy requirements into functional edit specifications. Translate editing logic into platform configurations with support from SMEs, and stakeholders to ensure clear understanding and configuration of concepts. Collaborate with cross-functional teams to assess configuration needs and implement appropriate solutions. Assist in developing and maintaining payment integrity policies and procedures. Review configurations to ensure completeness and accuracy based on the medical coding and billing guidelines. Troubleshoot and perform root-cause analysis for edit logics not functioning as intended. Effectively pinpoint configuration discrepancies and ensure concepts are deployed successfully and on schedule. Audit and validate concepts against healthcare guidelines; identify and address gaps with upstream teams. Conduct rigorous testing to verify concept accuracy and performance across outpatient, professional, and inpatient claim scenarios adhering to the coding guidelines. Perform acceptance testing to validate configuration accuracy. Stay updated with industry regulations and compliance requirements to ensure the configuration process adheres to relevant standards. Perform duties independently with a high level of accuracy and professionalism. Exhibit detail-oriented mindset with a focus on quality and accuracy in concept configuration & testing. Familiarity with AI tools and prompt engineering to support medical content development, automation of policy logic, and Concept generation o Design and optimize prompts for large language models (LLMs) to generate accurate and clinically relevant medical content. o Experience in utilize AI tools (e.g., Gemini, NotebookLLM, ChatGPT, Claude, Perplexity, Grok, Bard, or custom LLMs) to assist in ideation, content creation, review, summarization, and validation. Key Skills: Domain Expertise in US Healthcare Medical Coding, Medical Billing, Payment Integrity, Revenue Cycle Management (RCM), Denials Management. Codeset Knowledge like CPT/HCPCS, ICD, Modifier, DRG, PCS, etc. Knowledge on policies like Medicare/Medicaid Reimbursement, Payer Payment Policies, NCCI, IOMs, CMS Policies etc. Proficiency in Microsoft Word and Excel, with adaptability to new platforms. Excellent verbal & written communication skills. Excellent Interpretation and articulation skills. Strong analytical, critical thinking, and problem-solving skills. Willingness to learn new products and tools. Strong time management skills and ability to meet deadlines. Qualifications: Education & Certification (one of the following required): Bachelor of Science in Nursing (B.Sc. Nursing). Pharmacist Degree (B.Pharm, M.Pharm or PharmD). Life science Degree (Microbiology, Biotechnology, Biochemistry, etc). Medical Degree (e.g., MBBS, BDS, BPT, BAMS etc). Other Bachelors Degree with relevant experience. Certification Requirements: Candidates with certifications like CPC, CPMA, COC, CIC, CPC-P, CCS, or any specialty certifications from AHIMA or AAPC will be given preference. Additional weightage will be given for AAPC specialty coding certifications. Experience: 0-1 years of experience in Payment Integrity, Medical Coding, Denial Management. Experience in payment integrity, claims processing, or related functions within the US healthcare system. Experience in denial management, retrospective payment audits, or medical coding. Familiarity with Medical coding guidelines, such as ICD, CPT, Modifiers, Medicare, Medicaid, or commercial payer guidelines. Work Location: Jayanagar Bangalore. Work Mode: Work from Office.

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ 25k joining bonus only Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

Hiring: Payment Posting (Provider Side) Location: Pune CTC: Up to 5.5 LPA Shift: US Shift (Night) | 5 Days Working | 2 Days Rotational Off Notice Period: Immediate to 30 Days About the Role We are looking for experienced Payment Posting professionals (Provider Side) to join our growing US Healthcare RCM team. Eligibility: Experience: Minimum 1 year in Payment Posting (Provider Side) Qualification: Any Key Skills: Payment Posting Denial Management & Resolution AR Follow-up / Collections Physician / Provider Billing Prior Authorization HIPAA Compliance How to Apply? Contact: Sanjana 9251688426

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 25k ( Depends on last drawn salary) Location- Mumbai *FOR EXPERIENCE CANDIDATES IN MEDICAL BILLING (Voice Process)* Salary upto 50k open for right candidate/ decent hike on last drawn/ Home Pickup and Home Drop facility provided. If travelling not taken then 4000 allowance provided. Us shift/ 5:30pm-2:30am Monday-Friday working / Saturday & Sunday Fixed Off. Location :- Navi Mumbai, Mumbai, Hyderbad, Banglore, Pune, Andheri, Turbhe Extra Perks: - Incentives - up to 5500 Overtime - per hour 150rs & If working on Saturday - Double Salary Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location: Pune / Navi Mumbai / Bangalore / Andheri / Ghansoli / Airoli /Hyderabad Job Type : Full-time Contact Details. SR.HR Shreya - 9136512502

Job Title : AR Caller & US Healthcare Medical Billing RCM Specialist Job Description : We are seeking a skilled AR Caller & US Healthcare Medical Billing RCM Specialist to manage and optimize revenue cycle processes for our healthcare clients. The ideal candidate will handle accounts receivables, follow up on denied or unpaid claims, and work directly with insurance companies to resolve outstanding issues. The role requires a deep understanding of medical billing, claims processing, and insurance follow-up within the US healthcare system. Key Responsibilities : Manage accounts receivable, including timely follow-up on unpaid claims Call insurance companies to resolve denied or delayed claims Investigate and address claim rejections or underpayments Review and submit appeals for denied claims Maintain accurate documentation and reporting on claim statuses Collaborate with billing teams to improve revenue cycle processes Stay updated on payer rules, regulations, and changes in billing practices Qualifications : 1+ years of experience in US healthcare billing and RCM processes Familiarity with EOBs, denials, and insurance payer policies Excellent communication and negotiation skills Proficiency in medical billing software and MS Office Hiring for freshers salary 10.7k to 17k ( Depends on last drawn salary) Location- Mumbai Preferred : Certification in Medical Billing and Coding or equivalent Experience with Medicare/Medicaid billing Location : Pune / Navi Mumbai / Banglore Job Type : Full-time Contact Details. Shreya - 9136512502