640 Modifiers Jobs

Role Overview: As a Medical Coding Trainer at our company, your primary responsibility will be to conduct training sessions for individuals with 8+ years of experience in Medical Coding, with a preference for those who are experienced Auditors/QAs with training capabilities. You will be expected to possess strong knowledge in Human Anatomy, Physiology, and Medical Terminology, along with expertise in ICD-10-CM Guidelines, CPT, Modifiers, and HCPCS Level II codes. Additionally, you will play a crucial role in designing training modules, educational materials, and test papers, as well as evaluating the outcomes of training sessions. Key Responsibilities: - Hold certifications such as CPC, CCS,...

Job description “Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company is a global leader providing business process solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, Retail, and other diverse industries. With a global footprint across US, UK, India, Philippines, Mexico, Romania, Turkey, Trinidad & Tobago, South Africa, and Australia, they ‘make it happen’ for their clients, solving their biggest challenges with hyper-focused, domain-centered teams and cutting-edge tech, data, and analytics. Firstsource’s inch-wide, mile-deep practitioners work collaboratively, leveraging UnBPO™ - their d...

Claim Executive is responsible for preparing, submitting, and tracking healthcare claims to insurance companies, ensuring accurate and timely reimbursement. This role involves validating claim data, resolving rejections, coordinating with payers, and supporting the end-to-end claims management process in compliance with payer and HIPAA guidelines. Key Responsibilities: Prepare and submit clean claims (electronic & paper) to insurance companies within specified timelines. Verify claim accuracy, coding, modifiers, and patient/payer details before submission. Track claim status and follow up on pending or denied claims. Handle claim rejections, corrections, and resubmissions promptly. Coordinat...

At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. In SAP human capital at PwC, you will focus on providing consulting services for SAP Human Capital Management (HCM) applications. You will analyse client requirements, implement HCM software solutions, and provide training and support for seamless integration and utilisation of SAP HCM applicatio...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

In this role as a RCM / Medical Billing Specialist, you will be responsible for providing Level 1 and Level 2 support for U.S. Healthcare Revenue Cycle Management (RCM) workflows. Your analytical skills and domain expertise will be crucial in identifying and resolving claim discrepancies, logic or mapping issues in EDI 835/837 transactions, and collaborating with clearinghouses. Communication with U.S. clients and maintaining compliance with HIPAA guidelines will also be key aspects of your role. **Key Responsibilities:** - Provide Level 1 and Level 2 support for RCM workflows, including claim discrepancies. - Analyze EDI 835/837 transaction data to identify and resolve logic or mapping issu...

At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. In SAP human capital at PwC, you will focus on providing consulting services for SAP Human Capital Management (HCM) applications. You will analyse client requirements, implement HCM software solutions, and provide training and support for seamless integration and utilisation of SAP HCM applicatio...

Company Description Founded in 2017, USP Polymers LLP is a leading supplier in the Thermoplastic Elastomers industry, offering high-quality products such as Thermoplastic Elastomer (TPE), Thermoplastic Vulcanizate (TPV), Silicone Masterbatches, and Impact Modifiers. Known for sourcing materials from top global manufacturers, the company ensures its products meet international standards. With a focus on innovation and customer satisfaction, USP Polymers provides reliable and tailored solutions for various industrial applications. Our commitment to excellence has made us a trusted partner in the industry. For more information, visit our website at usppolymers.in. Role Description This is a ful...

WE HAVE AN URGENT REQUIREMENT OF AR CALLERS & AR FOLLOW UP CANDIDATES #AR follow-up with insurance companies & patients. #To follow up on claims assigned. #To Complete EDI rejections #End to End RCM Knowledge #Good knowledge of modifiers & softwares Required Candidate profile #EXPERIENCE : 01 TO 06 YEARS IN AR CALLING & FOLLOW UP US HEALTHCARE RCM #NIGHT SHIFTS #SALARY : 2.50 LPA TO 6.00 LPA + INCENTIVES #CALL/WATSAPP : PRAYAG : 9911985567 #vrtalenthunters6210@gmail.com Perks and benefits #best Salary & Incentives Plans Virtual Interviews

Job Purpose The Pre-Certification Representative is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies. Duties and Responsibilities Works effectively with insurance companies to obtain pre-certification for services Places calls to various health plans to obtain appropriate precertification prior to the patient's appointment Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company Faxes to pre-certification request form to insurance company Maintains files and security of confidential information utilizing host system to scan an...

Company Description USP Polymers LLP, established in 2017, is a recognized leader in the Thermoplastic Elastomers industry, offering a diverse range of premium products including Thermoplastic Elastomer (TPE), Thermoplastic Vulcanizate (TPV), Silicone Masterbatches, and Impact Modifiers. We source materials from top manufacturers globally, ensuring adherence to international standards. With a commitment to innovation and customer satisfaction, USP Polymers delivers high-quality solutions tailored to meet various industrial applications. We aim to provide reliable and effective results, supported by a strong focus on product excellence. Role Description This is a full-time, on-site role for a...

Open Positions (Specialty Wise) IPDRG Coder / QA Locations: Chennai, Bangalore, Hyderabad, Trichy Surgery / SDS Coder / QA Locations: Chennai, Bangalore, Hyderabad Denials – Coder Location: Chennai Surgical Pathology – QA Location: Chennai Radiology – Coder / QA Location: Chennai E&M OP – Coder / QA Locations: Chennai, Bangalore, Hyderabad IVR – Coder / QA Location: Chennai E&M OP / ED – CDI SME Location: Hyderabad Home Health – Coder / QA Locations: Chennai, Bangalore, Hyderabad, Trichy ED Pro – Coder Locations: Chennai, Hyderabad ED FAC – QA / SME Location: Trichy Eligibility Criteria Certification mandatory: CPC / CCS / CIC Minimum 1 year of relevant specialty coding experience Strong kno...

We have opening for a Leading Restaurant Chain Location : Pune ( Hadapsar) Role : IT Support Executive Experience 1–3 years experience in IT support Restaurant Or Retail Industry Experience Preferred Education Diploma or Degree in IT/Computer Science Or relevant certification (CCNA, hardware networking, etc.) Technical Skills POS system setup, troubleshooting, and daily support Knowledge of billing printers, KOT printers, LAN/WiFi setup Basic networking (router, switch, IP configuration) CCTV installation & monitoring System formatting, software installation, antivirus Knowledge of cloud backup, email setup (Outlook/Gmail) Handling biometric attendance machines Experience with ERP/FnB softwa...

About The Role We are looking for a passionate and highly skilled Frontend Engineer with strong expertise in ReactJS, Angular, and modern CSS frameworks to join our growing engineering team. The ideal candidate should be an expert in building elegant, scalable, and high-performing web applications while maintaining a strong sense of design and user experience. This role involves close collaboration with backend engineers, UI/UX designers, and product managers to deliver visually stunning and functionally robust interfaces. You will play a key part in architectural decisions, code review processes, and performance optimization across multiple frontend frameworks. Key Responsibilities As a Sen...

Senior Medical Coder- Claim Edits We are hiring experienced, certified Senior Medical Coders with deep expertise in facility (hospital) claim edits and denials management . Candidates must demonstrate advanced proficiency in ICD-10-CM/PCS, CPT®, HCPCS-II, modifiers, NCCI edits, LCD/NCD guidance, MUEs , and payer-specific compliance requirements. Strong communication skills and effective collaboration across revenue cycle teams are essential. Experience Requirements 5–10 years of medical coding experience , with demonstrated mastery of Coding Clinics, CPT Assistant guidance, NCCI Guidelines/Policy Manual , and hands-on experience with 3M, Epic , and FinThrive applications. 2–5 years of claim ...

Job Description: Outpatient Payment Validation Analyst / Revenue Integrity Specialist Department: Revenue Cycle / Payment Integrity Reports To: Manager, Payment Validation & Clinical Audits Role Summary We are seeking a highly analytical Outpatient Payment Validation Analyst to ensure accurate reimbursement for outpatient facility claims. This role requires strong expertise in coding, payment methodologies, and grouper logic to validate claim payments, identify variances, and support revenue integrity. Core Competencies Candidates must have solid knowledge of: OPPS: Medicare outpatient payment rules, status indicators, Composite APCs, device-dependent procedures. APC: Understanding of code-t...

About the Role We are looking for a passionate and highly skilled Frontend Engineer with strong expertise in ReactJS , Angular , and modern CSS frameworks to join our growing engineering team. The ideal candidate should be an expert in building elegant, scalable, and high-performing web applications while maintaining a strong sense of design and user experience. This role involves close collaboration with backend engineers, UI/UX designers, and product managers to deliver visually stunning and functionally robust interfaces. You will play a key part in architectural decisions, code review processes, and performance optimization across multiple frontend frameworks. Key Responsibilities As a S...

1. We Are Hiring Senior AR Callers || Up to 45 K take home Salary For Physician Billing ( PB ) - 40 K Take Home salary For Hospital Billing ( HB ) - 45 K Take Home salary || Cab Facility || Incentives || Immediate Joiners || Job Title - Senior AR Caller Eligibility :- Min 7 + Months of experience into AR Calling Package :- Up to 45 K + Incentives + 2 way Cab Facility For Physician Billing ( PB ) - 40 K Take Home salary For Hospital Billing ( HB ) - 45 K Take Home salary Location :- Hyderabad , Bangalore, Chennai, Navi Mumbai ( Hyderabad - Uppal , Hitech City ) Immediate Joiners Preferred Relieving letter is not Mandate WFO Perks and Benefits : incentives allowances 2 way cab If Interested, K...

Calpion Hiring AR Caller & Senior AR callers Experience: 1 to 3 Years Location: Bangalore and Coimbatore Job Type: Work from office Interview: Direct & Teams video call Preferred Immediate joiner Shift: Night shift Travel allowance for Male employees (No cab) Should have knowledge in AR calling & denial management (Appels, rejections, correspondence, refilling, resubmitting) Different types of denials, non covered charges, Hospy, modifiers, MSP, MCO Difference between Inset & off set, capitation, HMO, PPO plans, MB limit, CO97, W9form Excellent communication skills in English Contact: 8904998635 vidya.doss@calpion.com Job Types: Full-time, Permanent Pay: ₹25,000.00 - ₹40,000.00 per month Ben...

About The Opportunity A leader in e‑commerce and luxury jewellery retail/marketing, we create premium product imagery for online catalogs, marketplaces, social campaigns and print. We are hiring an on‑site Jewellery Product Photographer in India to produce high-fidelity stills and detailed close-ups that showcase craftsmanship and drive conversion. Role & Responsibilities Shoot high-resolution product and detail images of rings, necklaces, bracelets, and gemstones in a controlled studio environment. Set up and operate studio lighting, modifiers, turntables, and macro setups to capture accurate shape, texture and sparkle. Edit and retouch images to e‑commerce standards: color accuracy, backgr...

Company Description:- MDI NetworX is a global leader in business management solutions, supporting health plans, benefit administrators, and healthcare networks across the U.S. We specialize in reducing operational costs, improving adjudication accuracy, and enhancing customer experience through advanced technology and deep domain expertise. 🌐 Know more : www.mdinetworx.com Role Description:- We are looking for experienced Claims Adjudication professionals to review and process U.S. healthcare claims with accuracy and compliance. The role involves validating eligibility, benefits, coding accuracy, and ensuring adherence to payer policies and industry regulations. If you have strong analytical...

Experience - 3-4 Years Job Role- AR Caller Location- Balewadi Highstreet Key Responsibilities: Make outbound calls to insurance companies to follow up on outstanding claims. Review and resolve denials, rejections, and underpayments. Understand US healthcare billing, coding, modifiers, and submission guidelines. Analyze EOBs/ERAs and take appropriate action (re-submission, appeals, corrections). Update patient accounts with accurate notes based on call outcomes. Coordinate with internal teams to resolve coding, documentation, and eligibility issues. Meet daily/weekly productivity and quality targets. Maintain professionalism and follow compliance standards (HIPAA). Required Skills & Qualifica...

Key Responsibilities: Perform end-to-end AR follow-up on insurance claims to ensure maximum reimbursement. Handle denials, rejections, and appeals with effective resolution strategies. Analyze aging reports and prioritize claims to reduce AR days. Interact with insurance representatives to clarify claim status and resolve payment delays. Identify trends in denials/underpayments and share feedback with the team. Ensure compliance with HIPAA regulations and client-specific guidelines. Mentor/guide junior team members when required. Required Skills: 1–3 years of AR calling experience in US healthcare RCM . Strong knowledge of CPT, ICD, modifiers, and claim adjudication process . Hands-on experi...

Must have a strong understanding of PVC pipe formulations, lubricant behavior, and CPE/impact modifier replacements. They will be responsible for generating sales, conducting trials, and developing business in assigned regions. Key Responsibilities: Visit PVC pipe manufacturers, promote additives and secure trials. Explain technical advantages of: Internal/external lubricant replacements CPE or impact modifier replacement additives Achieve monthly and annual sales targets for the region. Identify new PVC pipe companies and expand market coverage. Support customers during sample trials and performance evaluation. Maintain relationships with owners, R&D heads, production teams. Conduct competi...

We are hiring QA – DME Specialists for our Night Shift . Ideal candidates should be detail-oriented, experienced in DME processes, and ready to join immediately . You will be responsible for ensuring accuracy, compliance, and quality across all DME orders and documentation. Key Responsibilities Conduct QA audits on DME orders, claims, and documentation. Verify accuracy of prescriptions, medical records, and supporting documents. Ensure proper DME coding (HCPCS, modifiers) and compliance with payer guidelines. Identify documentation errors and coordinate corrections with relevant teams. Maintain audit logs, QA reports, and quality metrics. Support process improvements and assist with SOP upda...