313 Modifiers Jobs - Page 8

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties and Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place 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 Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host s...

Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory , our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI , our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology se...

Ready to shape the future of work? At Genpact, we don’t just adapt to change—we drive it. AI and digital innovation are redefining industries, and we’re leading the charge. Genpact’s AI Gigafactory , our industry-first accelerator, is an example of how we’re scaling advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. From large-scale models to agentic AI , our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, tech-driven environment, love solving real-world problems, and want to be part of a team that’s shaping the future, this is your moment. Genpact (NYSE: G) is an advanced technology se...

You should possess a minimum of 8 years of experience in Medical Coding Training, preferably as an experienced Auditor or QA with training capabilities. Your primary responsibilities will include conducting training sessions for 30-75 trainees simultaneously, delivering effective presentations, and assessing trainees to provide constructive feedback. To excel in this role, you must hold certifications such as CPC, CCS, COC, CIC, etc. from AAPC or AHIMA. Additionally, you should have a strong understanding of Human Anatomy, Physiology, Medical Terminology, ICD-10-CM Guidelines, CPT codes, Modifiers, and HCPCS Level II codes. Your proficiency in researching and problem-solving related to codin...

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-cl...

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties And Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place 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 Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host s...

You will be responsible for reviewing and analyzing claim form 1500 to ensure accurate billing information. Utilizing coding tools like CCI and McKesson will be essential to validate and optimize medical codes. Your expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery will be valuable. Proficiency in using CPT range and modifiers for precise coding and billing will be required, along with working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. As a suitable candidate, you should be a complete Graduate comfortable with signing a Retention Period. A minimum of 2 years...

Company Description Sutherland is a global leader driving digital outcomes by combining advanced technologies with expertise in customer experience and business process transformation. By improving interactions and personalizing experiences, Sutherland helps clients build better customer relationships through its digital-first approach. Are you a fast thinker with strong typing skills and a passion for solving problems? Are you curious, detail-oriented, and excited to support global clients? If this sounds like you, we want you on our team! Job Description Sutherland is now hiring individuals who are passionate to start/ build their career in the BPO Industry. Job Title: Sr Associate Role & ...

Pay: ₹15,000 – ₹20,000 a month Job type: Full-time | Permanent Shift and schedule: Day shift Location: Ahmedabad, Gujarat Experience: 3D Animation: 0–2 Years (Preferred) Education: Bachelor's (Preferred) Work Location: In Person Role Overview: Pixverse Media Pvt. Ltd. is looking for a passionate and skilled 3D Animator to join our creative team. The ideal candidate should have a strong understanding of animation principles and be proficient in creating realistic and stylized animations. You will work characters, objects, and environments, Basic Experience in Unreal Engine and Blender is a must. Location: Motera, Ahmedabad Note: Portfolio is a must. Please submit a clickable link in PDF forma...

Company Description Sutherland is a global leader driving digital outcomes by combining advanced technologies with expertise in customer experience and business process transformation. By improving interactions and personalizing experiences, Sutherland helps clients build better customer relationships through its digital-first approach. Are you a fast thinker with strong typing skills and a passion for solving problems? Are you curious, detail-oriented, and excited to support global clients? If this sounds like you, we want you on our team! Job Description Sutherland is now hiring individuals who are passionate to start/ build their career in the BPO Industry. Job Title: Sr Associate Role & ...

You will be responsible for having extensive experience with multiple Oracle Sales modules including OM Shipping Pricing. Your main duties will include gathering requirements, analyzing and proposing solutions, conducting Super user training and UAT, possessing good business process knowledge and system configuration knowledge, and having at least 3-4 full cycle implementation project experience. You should have worked in R12 Implementation or R12 Upgrade projects, and be skilled in analyzing and resolving issues in Order Management Shipping areas. Additionally, you should be well-versed in Inventory concepts such as Inventory Optimization Planning and Kanban, and have hands-on experience wi...

Job Purpose The Insurance Verification Representative II is responsible for obtaining and providing accurate and complete data input for precertification/preauthorization from insurance companies Duties And Responsibilities Work effectively with insurance companies to obtain pre-certification/authorization for services Place 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 Fax to pre-certification request form to insurance company Maintain files and security of confidential information utilizing host s...

1. Accurate review and post charges for medical services provided by healthcare providers. 2. Analyze patient encounter documentation such as super bills, operative reports and medical reports to ensure accurate charge capture and appropriate code assignment. 3. Collaborate with coding professionals to verify the accuracy of assigned codes and modifiers, resolving discrepancies or coding related issues before charge posting. 4. Adhere to billing and coding compliance guidelines, including HIPAA regulations, insurance payer guidelines, and government regulation (e.g., Medicare, Medicaid). 5. Maintain high accuracy in charge entry, minimizing errors and discrepancies. 6. Meet or exceed establi...

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves g...

About Us: Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves g...

Job Category Job Type: Job Location: Jayanagar Bangalore Salary Years of Experience: 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 m...

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewar...

Ventra is a leading business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers to deliver transparent and data-driven solutions that solve the most complex revenue and reimbursement issues, enabling clinicians to focus on providing outstanding care to their patients and communities. Come Join Our Team! As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we believe great work deserves great rewar...

Hyderabad Job Role: Reviewing and analyzing claim form 1500 to ensure accurate billing information. Utilizing coding tools like CCI and McKesson to validate and optimize medical codes. Familiarity with payer websites to verify claim status, eligibility, and coverage details. Expertise in various medical specialties such as cardiology, radiology, gastroenterology, pediatrics, emergency medicine, and surgery. Proficiency in using CPT range and modifiers for precise coding and billing. Working with Clearing House systems like Waystar and other e-commerce platforms for claim submissions. Conducting voice-based communication with payers and medical staff to resolve billing discrepancies and facil...

Job Title: Radiology Medical Coder Years of Experience: 1 year No of openings: 15 Notice period: Immediate to 15days Job Summary: We are seeking detail-oriented and experienced Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and analyze radiology reports to assign accurate diagnosis and procedure codes. Ensure coding compliance in accordance with ACR, CMS, and payer guidelines. Code a variety of radiology modalities including X-ray, CT, MRI, U...

Job Title: Interventional Radiology Medical Coder Years of Experience: 3 years Job Summary: We are seeking detail-oriented and experienced Interventional Radiology Medical Coders . The ideal candidate will accurately assign CPT, ICD-10-CM, Modifiers and HCPCS codes for diagnostic and Therapeutic interventional radiology procedures, ensuring compliance with federal regulations, payer-specific requirements, and internal quality standards. Key Responsibilities: Review and interpret complex interventional radiology reports to assign accurate codes for procedures and diagnoses. Apply appropriate CPT®, ICD-10-CM, and HCPCS codes for vascular and non-vascular IR procedures Ensure compliance with AC...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11am to 6pm ) Everyday Contact person VIBHA HR (9043585877) Interview time (11am to 6pm ) Bring 2 updated resumes Refer (HR Name - VIBHA HR) Mail Id : vibha@novigoservices.com Call / WhatsApp (9043585877) Refer HR Vibha Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Vibha HR Novigo Integrated Services Pvt Ltd, Sai Sadhan,1st Floor, TS # 1...

Job Title: Senior Associate - Account Receivables Years of Experience: 2- 4 years Shift Timings: Night Shift (7:00 PM to 4:00 AM) Location: Hyderabad, Telangana Education Qualification: Any graduate Skill Set Requirements: Communication Skills - Grade A Analytical Skills - Grade A Job Description AR callers with good experience of 2 to 4 Years RCM Experience (Physician Billing). Have PMS (Software) - Centricity G4/NG/ Other software is also eligible Understanding of Provider Information & Patient Information as it impacts claim resolution. Knowledge of Clearing House Rejections/Denials and its resolution Knowledge of Payor Denials and Resolution Knowledge of Appeals Process - Form types/Doc...

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information. Veradigm Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-cl...

Dear Aspirants, Warm Greetings!! We are hiring for the following details, Position: - AR Analyst - Charge Entry & Charge QC - Payment Posting Salary: Based on Performance & Experienced Exp : Min 1 year Required Joining: Immediate Joiner / Maximum 10 days NB: Freshers do not apply Work from office only (Direct Walkins Only) Monday to Friday ( 11 am to 5 Pm ) Everyday Contact person Nausheen HR( 9043004655) Interview time (11Am to 5 Pm) Bring 2 updated resumes Refer( HR Name - Nausheen Begum HR) Mail Id : nausheen@novigoservices.com Call / Whatsapp (9043004655) Refer HR Nausheen Location : Chennai , Ekkattuthangal Warm Regards, HR Recruiter Nausheen HR Novigo Integrated Services Pvt Ltd, Sai S...