5 Payer Guidelines Jobs

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8.0 - 10.0 years

0 Lacs

chennai, tamil nadu, india

On-site

Hiring: Lead RCM Billing & Coding Specialist Location: Madipakkam, Chennai Experience: 8+ years Employment Type: Full-time About the Role We are looking for an experienced Lead RCM Billing & Coding professional to own and drive our revenue cycle operations. This role is ideal for someone with strong hands-on expertise in medical billing, coding, and payer workflows , who can also guide junior team members and ensure process accuracy and compliance. Note: This role does not require programming or technical development skills. Key Responsibilities Lead end-to-end Revenue Cycle Management (RCM) operations Oversee medical billing, coding, charge entry, and claim submission Review and resolve cla...

Posted 6 days ago

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1.0 - 3.0 years

0 Lacs

noida, uttar pradesh, india

On-site

Key Responsibilities:- Review and process data adjustment requests in accordance with client guidelines and US healthcare regulations. Validate details, identify discrepancies, and apply appropriate adjustments. Ensure compliance with HIPAA and other regulatory requirements. Communicate effectively with internal teams to resolve claim-related issues. Maintain accurate documentation and update systems with adjustment details. Meet daily/weekly productivity and quality targets. Identify process improvement opportunities and escalate complex cases as needed. Required Skills & Qualifications:- Bachelor's degree or equivalent experience in healthcare, insurance, or related field. 12 years of stro...

Posted 3 weeks ago

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7.0 - 9.0 years

0 Lacs

chennai, tamil nadu, india

On-site

Role Summary The Assistant Manager Operations for Charge Posting is responsible for overseeing and managing the charge entry process within the medical billing cycle. This role ensures accurate and timely posting of charges to patient accounts, compliance with payer guidelines, and adherence to organizational standards. The position involves team management, process optimization, and coordination with other RCM functions. Key Responsibilities Supervise and monitor daily charge posting activities for multiple clients or facilities. Ensure accurate entry of CPT, ICD-10, and HCPCS codes based on clinical documentation. Validate charges against payer rules and client-specific requirements. Manag...

Posted 4 weeks ago

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10.0 - 12.0 years

0 Lacs

mohali, punjab, india

On-site

Job Title: Hiring RCM Training Manager & Soft Skills Trainer | Mohali Location: Mohali, Punjab (Work from Office) Employment Type: Full-Time Are you a seasoned training professional passionate about building capability and driving performance We are expanding our L&D function and are looking for two key leaders to join our team in Mohali! 1. Training Manager RCM (10+ Years Experience) The Role: We are hiring an experienced RCM Training Manager to lead and manage end-to-end training operations across multiple RCM verticals. You will be the architect of our RCM knowledge base, ensuring our teams are equipped for excellence. Key Responsibilities: Develop and lead the overall RCM training strate...

Posted 1 month ago

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2.0 - 5.0 years

0 Lacs

Gurgaon, Haryana, India

Remote

Triple Role Triple is leading the way in remote work solutions, helping small and medium-sized businesses in North America build highly efficient remote teams for Administration, Customer Service, Accounting, Operations, and back-office roles. Our focus has always been on our Clients, People, and Planet, ensuring our operations contribute positively across these key areas. Distinguished by its rigorous standards, Triple excels in: Selectively recruiting the top 1% of industry professionals Delivering in-depth training to ensure peak performance Offering superior account management for seamless operations Embrace unparalleled professionalism and efficiency with Triplewhere we redefine the ess...

Posted 4 months ago

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